Individual
MARY CHRISTENA ATTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC, ATR-BC, ATCS
Contact information
Practice address
6770 S 900 E STE 105, MIDVALE, UT 84047-1710
(801) 305-3171
(801) 904-3632
Mailing address
6770 S 900 E STE 105, MIDVALE, UT 84047-1710
(801) 305-3171
(801) 904-3632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9022525-6004
UT
221700000X
Art Therapist
06-009
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-009
ATR-BC, ATCS
—
01
—
9022525-6004
CMHC LICENSE
UT
Enumeration date
04/08/2011
Last updated
06/11/2019
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