Individual provider · Type 1 NPI

Courtney Vandermyden

Mental Health Counselor · West Valley, UT

NPI number 1003573338 Active

Practice location

2655 S Lake Erie Dr
West Valley, UT 84120-7350

Mailing address

4866 W Diamondleaf Way
West Jordan, UT 84081-4759

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003573338

Courtney Vandermyden's National Provider Identifier is 1003573338, issued on Nov 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Valley, UT. The record was last updated on Nov 22, 2021.