Individual
MISS DANIELLE FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
4578 S HIGHLAND DR STE 320, SALT LAKE CITY, UT 84117-4214
(801) 505-9137
Mailing address
4578 S HIGHLAND DR STE 320, SALT LAKE CITY, UT 84117-4214
(801) 694-3565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7608102-6004
UT
Other
Enumeration date
08/02/2010
Last updated
01/24/2019
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