Individual
KATHRYN WINGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, ATR-BC
Contact information
Practice address
940 E SOUTH UNION AVE, MIDVALE, UT 84047-2302
(385) 346-0031
(385) 446-0973
Mailing address
5622 S WALDEN GLEN DR, SALT LAKE CITY, UT 84123-7925
(385) 346-0031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10178806-6004
UT
101YM0800X
Mental Health Counselor
—
—
221700000X
Art Therapist
17-277
—
Other
Enumeration date
01/23/2020
Last updated
05/22/2023
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