Individual provider · Type 1 NPI

Giannina Fuentes Mendieta, LCSW

Mental Health Counselor · Bountiful, UT

NPI number 1699220442 Active

Practice location

415 Medical Dr Ste D101
Bountiful, UT 84010-8905

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8483250-3503 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1699220442

Giannina Fuentes Mendieta, LCSW's National Provider Identifier is 1699220442, issued on Aug 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bountiful, UT. The record was last updated on Nov 27, 2023.