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Marilee Vanwagenen, LCSW
Counselor in Provo, Utah
NPI 1639630916

Marilee Vanwagenen is a Counselor based in Provo, UT. Marilee Vanwagenen practices in Provo, UT and has the professional credentials of LCSW. The NPI Number for Marilee Vanwagenen is 1639630916 and holds a License No. 140473-3501 (Utah).

The current practice location address for Marilee Vanwagenen is 151 S University Ave Ste 3200, Provo, UT and can be reached out via phone at 801-851-7128.

Location: 151 S University Ave Ste 3200, Provo, UT, 84601-4427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639630916
Provider Name
Marilee Vanwagenen
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
151 S University Ave Ste 3200, Provo, UT, 84601-4427
Phone Number
801-851-7128
Fax Number
Provider Enumeration Date
03/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
151 S University Ave Ste 3200
City
Provo
State
Utah
Zip
84601-4427
Phone Number
801-851-7128
Fax Number
person
Provider Business Mailing Address Details
Address
151 S University Ave Ste 3200
City
Provo
State
Utah
Zip
84601-4427
Phone Number
801-851-7128
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
140473-3501 (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.
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