Individual
CHANDRA TEWARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-8820
Mailing address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-8820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12022711-3502
UT
101YM0800X
Mental Health Counselor
—
UT
1041C0700X
Clinical Social Worker
Primary
12022711-3501
UT
Other
Enumeration date
10/10/2018
Last updated
03/04/2025
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