Individual
JENNIFER VANENGELENHOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11075 S STATE ST STE 16, SANDY, UT 84070-5196
(801) 871-5143
Mailing address
11075 S STATE ST STE 16, SANDY, UT 84070-5196
(801) 871-5143
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
2014030128
MO
106H00000X
Marriage & Family Therapist
Primary
9883021-3902
UT
106H00000X
Marriage & Family Therapist
—
KS
Other
Enumeration date
02/10/2016
Last updated
02/01/2017
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