Individual provider · Type 1 NPI

Ivy Mare Phoenix, CMHC

Mental Health Counselor · West Valley City, UT

NPI number 1225668668 Active

Practice location

2965 W 3500 S
West Valley City, UT 84119-3602

Mailing address

1375 N Scottsdale Rd Ste 200
Scottsdale, AZ 85257-3429

Other practice locations

  • 12391 S 4000 W, Riverton, UT 84096-7012 · (801) 302-1700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X11772649-6004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1225668668

Ivy Mare Phoenix, CMHC's National Provider Identifier is 1225668668, issued on Jan 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Valley City, UT. The record was last updated on Aug 31, 2024.