Individual
SERENA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
80 S ORANGE ST, SALT LAKE CITY, UT 84116-3066
(801) 596-6300
Mailing address
4255 S VALENTINA BAY, SALT LAKE CITY, UT 84107-3394
(801) 319-7424
(801) 319-7424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13398160-6009
UT
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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