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Etta Ivyn Chavez
Mental Health Counselor in Taylorsville, Utah
NPI 1225668668

Etta Ivyn Chavez is a Mental Health Counselor based in Orem, UT and is specialized in Mental Health. Etta Ivyn Chavez practices in Taylorsville, UT. The NPI Number for Etta Ivyn Chavez is 1225668668 and holds a License No. (Utah).

The current practice location address for Etta Ivyn Chavez is 5691 S Redwood Rd, Taylorsville, UT and can be reached out via phone at 801-655-5450.

Location: 5691 S Redwood Rd, Taylorsville, UT, 84057-2449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225668668
Provider Name
Etta Ivyn Chavez
Credential
Provider Entity Type
Individual
Gender
Female
Address
5691 S Redwood Rd, Taylorsville, UT, 84057-2449
Phone Number
801-655-5450
Fax Number
Provider Enumeration Date
01/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5691 S Redwood Rd
City
Taylorsville
State
Utah
Zip
84123-5420
Phone Number
801-655-5450
Fax Number
person
Provider Business Mailing Address Details
Address
5691 S Redwood Rd
City
Taylorsville
State
Utah
Zip
84123-5420
Phone Number
801-655-5450
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
11772649-6004 (Utah)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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