Individual
LILY HANSCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 E 4500 S STE 100, SALT LAKE CITY, UT 84107-2797
(801) 746-4334
(801) 746-4337
Mailing address
495 E 4500 S STE 100, SALT LAKE CITY, UT 84107-2797
(801) 746-4334
(801) 746-4337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14209872-6004
UT
101YM0800X
Mental Health Counselor
LPC-20594
AZ
101YP2500X
Professional Counselor
14209872-6004
UT
101YP2500X
Professional Counselor
Primary
LPC-20594
AZ
1041C0700X
Clinical Social Worker
14209872-6004
UT
1041C0700X
Clinical Social Worker
LPC-20594
AZ
Other
Enumeration date
12/13/2022
Last updated
03/30/2026
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