Individual provider · Type 1 NPI

Kimberly Fagen

Mental Health Counselor · Heber City, UT

NPI number 1124934070 Active

Practice location

425 E 1200 S
Heber City, UT 84032-4607

Call (801) 809-0339 Map

Mailing address

11075 S State St Ste 16
Sandy, UT 84070-5196

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X14117987-3501 (UT)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1124934070

Kimberly Fagen's National Provider Identifier is 1124934070, issued on Aug 20, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Heber City, UT. The record was last updated on Aug 20, 2026.