Individual
MARY ANNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
4465 S 900 E STE 150, SALT LAKE CITY, UT 84124-3944
(435) 248-2089
(801) 207-5104
Mailing address
4465 S 900 E STE 150, SALT LAKE CITY, UT 84124-3944
(435) 248-2089
(801) 207-5104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8360609-6004
UT
101YM0800X
Mental Health Counselor
8360609-6009
UT
Other
Enumeration date
02/25/2015
Last updated
05/03/2019
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