Individual provider · Type 1 NPI
Chandra Fenwick, M.S. MHC
Counselor · Salt Lake City, UT
NPI number
1275743429
Active
Practice location
508 E South Temple, Suite 201
Salt Lake City, UT 84102-1013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 6600829-6009 (UT) |
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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- Jessie Rose CorbridgeCounselor Salt Lake City, UT NPI 1003322959
- Tracy VersluisCounselor Salt Lake City, UT NPI 1003358193
- Alicia VigilCounselor Salt Lake City, UT NPI 1003361445
- Athena Lee PooleCounselor Salt Lake City, UT NPI 1013215623
About NPI 1275743429
Chandra Fenwick, M.S. MHC's National Provider Identifier is 1275743429, issued on May 23, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.