Individual provider · Type 1 NPI

Kylie Lyn Stidham

Counselor · Salt Lake City, UT

NPI number 1144528811 Active · reactivated Jun 29, 2022

Practice location

5965 S 900 E
Salt Lake City, UT 84121-1720

Call (801) 263-7100 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1144528811

Kylie Lyn Stidham's National Provider Identifier is 1144528811, issued on Mar 4, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 29, 2022.