Individual provider · Type 1 NPI
Amanda J. Cencak, LCMHC
Mental Health Counselor · Park City, UT
NPI number
1184928996
Active
Practice location
1500 Kearns Blvd Ste AG20
Park City, UT 84060-7330
Mailing address
PO Box 681717
Park City, UT 84068-1717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 8675376-6004 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1184928996
Amanda J. Cencak, LCMHC's National Provider Identifier is 1184928996, issued on Jan 8, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Park City, UT. The record was last updated on Jul 28, 2020.