person
Shanquette Prophet, CSW
Mental Health Counselor in Riverdale, Utah
NPI 1750148151

Shanquette Prophet is a Mental Health Counselor based in South Ogden, UT and is specialized in Mental Health. Shanquette Prophet practices in Riverdale, UT and has the professional credentials of CSW. The NPI Number for Shanquette Prophet is 1750148151 and holds a License No. 13438834-3502 (Utah).

The current practice location address for Shanquette Prophet is 5131 S 1500 W, Riverdale, UT and can be reached out via phone at 706-305-5439.

Location: 5131 S 1500 W, Riverdale, UT, 84405-2711
person
Provider Profile Details
NPI Number
1750148151
Provider Name
Shanquette Prophet
Credential
CSW
Provider Entity Type
Individual
Gender
Female
Address
5131 S 1500 W, Riverdale, UT, 84405-2711
Phone Number
706-305-5439
Fax Number
Provider Enumeration Date
03/01/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5131 S 1500 W
City
State
Zip
84405-3926
Phone Number
706-305-5439
Fax Number
person
Provider Business Mailing Address Details
Address
5131 S 1500 W
City
State
Zip
84405-3926
Phone Number
706-305-5439
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
13438834-3502 (Utah)
Definition
Definition to come...
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