Individual
KENNETH THOMAS FATKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AMFT
Contact information
Practice address
393 E RIVERSIDE DR STE 3A, ST GEORGE, UT 84790-7127
(435) 688-2123
(801) 877-0864
Mailing address
4626 N 300 W STE 150, PROVO, UT 84604-6077
(801) 407-4134
(801) 877-0864
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11593493-3902
UT
Other
Enumeration date
01/15/2020
Last updated
12/11/2024
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