person
Kenneth Lake Hennefer, LCSW
Mental Health Counselor in Midvale, Utah
NPI 1538207154

Kenneth Lake Hennefer is a Mental Health Counselor based in Sandy, UT and is specialized in Mental Health. Kenneth Lake Hennefer practices in Midvale, UT and has the professional credentials of LCSW. The NPI Number for Kenneth Lake Hennefer is 1538207154 and holds a License No. 116860-3501 (Utah).

The current practice location address for Kenneth Lake Hennefer is 7321 S State St, Midvale, UT and can be reached out via phone at 801-352-2844 and via fax at 801-942-1973.

Location: 7321 S State St, Midvale, UT, 84093-2136
person
Provider Profile Details
NPI Number
1538207154
Provider Name
Kenneth Lake Hennefer
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
7321 S State St, Midvale, UT, 84093-2136
Phone Number
801-352-2844
Fax Number
801-942-1973
Provider Enumeration Date
02/03/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7321 S State St
City
State
Zip
84047-2055
Phone Number
801-352-2844
Fax Number
801-942-1973
person
Provider Business Mailing Address Details
Address
7321 S State St
City
State
Zip
84047-2055
Phone Number
801-352-2844
Fax Number
801-942-1973
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
116860-3501 (Utah)
Definition
Definition to come...
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