# MAXIMUM POTENTIAL

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

## Provider details

- **NPI number:** 1871845685
- **Authorized official:** BERNELL L CHRISTENSEN LMFT PH.D (OWNER)
- **Authorized official phone:** (801) 330-3651

## Contact information

- **Practice address:** 9067 S 1300 W STE 204, WEST JORDAN, UT 84088-5582
- **Practice address phone:** (801) 748-2192
- **Practice address fax:** (385) 234-4822
- **Mailing address:** 9067 S 1300 W STE 204, WEST JORDAN, UT 84088-5582
- **Mailing address phone:** (801) 748-2192
- **Mailing address fax:** (385) 234-4822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 293367-6004 | UT | — |
| 106H00000X | Marriage & Family Therapist | 11209--3902 | UT | Yes |
| 106H00000X | Marriage & Family Therapist | 6972251-3902 | UT | — |

## Other

- **Enumeration date:** 10/04/2012
- **Last updated:** 10/04/2012