Individual
SHANALYN HUNSAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2850 N 2000 W STE 101, FARR WEST, UT 84404-9230
(801) 528-5095
(801) 528-5094
Mailing address
1055 N 500 W, ATT CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11475086-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055266
MEDICARE PIN
UT
01
—
260022408
RAILRAOD MEDICARE
UT
05
—
8760003008007
—
UT
Enumeration date
09/25/2019
Last updated
09/30/2024
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