Individual
AMANDA J. CENCAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1500 KEARNS BLVD STE AG20, PARK CITY, UT 84060-7330
(435) 565-1899
Mailing address
PO BOX 681717, PARK CITY, UT 84068-1717
(928) 699-8645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8675376-6004
UT
Other
Enumeration date
01/08/2011
Last updated
07/28/2020
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