Individual
LISA MENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
155 E 900 S STE 11, SALT LAKE CITY, UT 84111-4267
(970) 639-0876
Mailing address
1512 E 3115 S, SALT LAKE CITY, UT 84106-3456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10846445-6004
UT
Other
Enumeration date
08/25/2020
Last updated
09/23/2020
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