Individual
CORINNA FITZWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1398 E LUCK LN, MILLCREEK, UT 84106-2944
(801) 251-6767
Mailing address
4659 S QUAIL VISTA LN APT K, SALT LAKE CITY, UT 84117-4864
(801) 971-4866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11291192-6004
UT
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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