Individual
CYNTHIA SUN FONNESBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAS-LMFT
Contact information
Practice address
2180 E 4500 S STE 105, HOLLADAY, UT 84117-4017
(801) 416-0862
(801) 905-1242
Mailing address
2180 E 4500 S STE 105, HOLLADAY, UT 84117-4017
(801) 416-0862
(801) 905-1242
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11353631-3902
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2016
Last updated
10/27/2021
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