# DEMERS MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003920513
- **Authorized official:** MR. SHAUN DEMERS APRN (OWNER/APRN)
- **Authorized official phone:** (801) 597-5686

## Contact information

- **Practice address:** 124 S 400 E STE 230, SALT LAKE CITY, UT 84111-5313
- **Practice address phone:** (801) 597-5686
- **Practice address fax:** (801) 595-0669
- **Mailing address:** PO BOX 581333, SALT LAKE CITY, UT 84158-1333
- **Mailing address phone:** (801) 597-5686
- **Mailing address fax:** (801) 595-0669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 2838734405 | UT | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 06/24/2010
