Individual provider · Type 1 NPI

Lilliam Henningson, LCSW

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1225158967 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-4760 Map

Fax (801) 373-0639

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X4753056-3502 (UT)
Clinical Social Worker 1041C0700X4753056-3502 (UT)
Student in an Organized Health Care Education/Training Program Primary 390200000X47530563102 (UT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225158967

Lilliam Henningson, LCSW's National Provider Identifier is 1225158967, issued on Mar 29, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on Jan 16, 2025.