Individual
JENNIFER MICHELLE PANAHINIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4578 S HIGHLAND DR STE 250, MILLCREEK, UT 84117-4200
(385) 800-1818
Mailing address
2460 E CAMINO WAY, COTTONWOOD HEIGHTS, UT 84121-4004
(801) 414-5786
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8672873-6004
PRIVATE INSURANCE
UT
Enumeration date
05/31/2013
Last updated
03/17/2023
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