Individual
MR. SHAWN PATRICK CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASC, ACMHC
Contact information
Practice address
1201 E 4500 S, MILLCREEK, UT 84117-4124
(801) 261-3664
Mailing address
1201 E 4500 S, MILLCREEK, UT 84117-4124
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13281900-6009
UT
101YP2500X
Professional Counselor
RC00049222
WA
104100000X
Social Worker
13281900-3503
UT
225800000X
Recreation Therapist
Primary
—
UT
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
05/15/2008
Last updated
11/03/2025
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