Individual
DENITA L MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
1371 BUSINESS PARK DR, OREM, UT 84058-2204
(801) 494-4335
Mailing address
1154 DOVER DR, PROVO, UT 84604-5240
(801) 494-4335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
141748846009
UT
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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