Individual
CICILY DIANE FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W 1400 N STE A, LOGAN, UT 84341-6816
(435) 752-5302
Mailing address
175 W 1400 N STE A, LOGAN, UT 84341-6816
(435) 752-5302
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
UT
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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