Individual
MARLENE FAHNESTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 S RIVER RD STE B105, ST GEORGE, UT 84790-5704
(435) 278-8227
Mailing address
720 S RIVER RD STE B105, ST GEORGE, UT 84790-5704
(860) 608-4690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11655058-6004
UT
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
04/17/2026
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