Individual provider · Type 1 NPI

Mandalina McClure

Mental Health Counselor · Salt Lake City, UT

NPI number 1164801551 Active

Practice location

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

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8842832-6009 (UT)

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About NPI 1164801551

Mandalina McClure's National Provider Identifier is 1164801551, issued on May 19, 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 19, 2015.