Individual
MRS. LENNIE KNOWLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
2825 S IMPERIAL ST, SALT LAKE CITY, UT 84106-3644
(801) 633-6933
Mailing address
2825 S IMPERIAL ST, SALT LAKE CITY, UT 84106-3644
(801) 633-6933
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6213475-6004
UT
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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