Individual
MS. TRENA ADAMS WIDDUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
5698 W GLEN EAGLE DR, WEST VALLEY CITY, UT 84128-4013
(801) 917-5457
Mailing address
6363 W IMPERIAL OAK DR, WEST JORDAN, UT 84081-1872
(801) 556-0326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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