Individual
SHANDI MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 W 100 N, EPHRAIM, UT 84627-2131
(435) 283-4065
(435) 462-8407
Mailing address
152 N 400 W, EPHRAIM, UT 84627-5549
(435) 283-8400
(435) 283-8401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
UT
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235458555
—
UT
Enumeration date
03/22/2016
Last updated
10/17/2025
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