Individual provider · Type 1 NPI

Mary Anne Anderson, CMHC

Mental Health Counselor · Salt Lake City, UT

NPI number 1063804219 Active

Practice location

4465 S 900 E Ste 150
Salt Lake City, UT 84124-3944

Fax (801) 207-5104

Other practice locations

  • 724 E 2100 S, Suite B, Salt Lake City, UT 84106-1830 · (801) 487-0499

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X8360609-6009 (UT)
Mental Health Counselor Primary 101YM0800X8360609-6004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1063804219

Mary Anne Anderson, CMHC's National Provider Identifier is 1063804219, issued on Feb 25, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on May 3, 2019.