person
Mr. Charles L Diviney III, MC,LPC,NCC,CCMHC
Mental Health Counselor in Salt Lake City, Utah
NPI 1174588230

Charles L Diviney III is a Mental Health Counselor based in Salt Lake City, UT and is specialized in Mental Health. Charles L Diviney III practices in Salt Lake City, UT and has the professional credentials of MC,LPC,NCC,CCMHC. The NPI Number for Charles L Diviney III is 1174588230 and holds a License No. 340426-6004 (Utah).

The current practice location address for Charles L Diviney III is 352 Denver St, Salt Lake City, UT and can be reached out via phone at 801-521-4227 and via fax at 801-359-0777. You can also correspond with Charles L Diviney III through the mailing address at PO BOX 3872, SALT LAKE CITY, UT - 84110-3872 (mailing address contact number: 801-201-4096).

Location: 352 Denver St, Salt Lake City, UT, 84110-3872
person
Provider Profile Details
NPI Number
1174588230
Provider Name
Charles L Diviney III
Credential
MC,LPC,NCC,CCMHC
Provider Entity Type
Individual
Gender
Male
Address
352 Denver St, Salt Lake City, UT, 84110-3872
Phone Number
801-521-4227
Fax Number
801-359-0777
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34042660001001 01 UT BCBS
institution
Provider Business Practice Location Address Details
Address
352 Denver St
City
State
Zip
84111-3000
Phone Number
801-521-4227
Fax Number
801-359-0777
person
Provider Business Mailing Address Details
Address
352 Denver St
City
State
Zip
84111-3000
Phone Number
801-521-4227
Fax Number
801-359-0777
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
340426-6004 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
340426-6004 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
340426-6004 (Utah)
Definition
Definition to come...
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