Individual
KEONDRA SHANI HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 252-6102
Mailing address
2255 S 300 E # 106, SOUTH SALT LAKE, UT 84115-2899
(801) 252-6102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
9006497-3902
UT
Other
Enumeration date
07/27/2009
Last updated
11/21/2023
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