Organization
DRAGONFLY CHILD AND FAMILY COUNSELING SERVICES
Active
Other names
Lisa Whiting CMHC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DIANE WHITING CMHC (OWNER/CLINICIAN)
(801) 597-0303
Entity
Organization
Contact information
Practice address
5802 S 900 E UNIT 7, MURRAY, UT 84121-1644
(801) 810-6082
Mailing address
1038 E QUARRY VIEW WAY, SANDY, UT 84094-7709
(801) 597-0303
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831407071
—
UT
Enumeration date
10/24/2018
Last updated
10/24/2018
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