# KDC PSYCHOTHERAPY LLC

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

## Provider details

- **NPI number:** 1215436712
- **Authorized official:** KATHRYN W CARPENTER LCSW (LCSW/OWNER)
- **Authorized official phone:** (801) 244-2320

## Contact information

- **Practice address:** 850 E 300 S STE 5, SALT LAKE CITY, UT 84102-2394
- **Practice address phone:** (801) 244-2320
- **Mailing address:** 850 E 300 S STE 5, SALT LAKE CITY, UT 84102-2394
- **Mailing address phone:** (801) 244-2320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 89573553501 | UT | Yes |

## Other

- **Enumeration date:** 02/09/2018
- **Last updated:** 05/02/2018