Individual
CHANDRA FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. MHC
Contact information
Practice address
508 E SOUTH TEMPLE, SUITE 201, SALT LAKE CITY, UT 84102-1013
(801) 323-9900
Mailing address
508 E SOUTH TEMPLE, SUITE 201, SALT LAKE CITY, UT 84102-1013
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6600829-6009
UT
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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