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Danette Lee Larsen, CMHC
Mental Health Counselor in Midvale, Utah
NPI 1649733205

Danette Lee Larsen is a Mental Health Counselor based in Midvale, UT and is specialized in Mental Health. Danette Lee Larsen practices in Midvale, UT and has the professional credentials of CMHC. The NPI Number for Danette Lee Larsen is 1649733205 and holds a License No. 6823638-6004 (Utah).

The current practice location address for Danette Lee Larsen is 613 E Fort Union Blvd Ste 104, Midvale, UT and can be reached out via phone at 801-984-1717 and via fax at 801-984-1720.

Location: 613 E Fort Union Blvd Ste 104, Midvale, UT, 84047-5531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649733205
Provider Name
Danette Lee Larsen
Credential
CMHC
Provider Entity Type
Individual
Gender
Female
Address
613 E Fort Union Blvd Ste 104, Midvale, UT, 84047-5531
Phone Number
801-984-1717
Fax Number
801-984-1720
Provider Enumeration Date
04/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
613 E Fort Union Blvd Ste 104
City
Midvale
State
Utah
Zip
84047-5531
Phone Number
801-984-1717
Fax Number
801-984-1720
person
Provider Business Mailing Address Details
Address
613 E Fort Union Blvd Ste 104
City
Midvale
State
Utah
Zip
84047-5531
Phone Number
801-984-1717
Fax Number
801-984-1720
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6823638-6004 (Utah)
Definition
Definition to come...
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