Individual
CHAYA TENNIS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
780 S 2000 W STE E302, SYRACUSE, UT 84075-9611
(801) 628-6397
Mailing address
780 S 2000 W STE E302, SYRACUSE, UT 84075-9611
(801) 628-6397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10805472-6004
UT
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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