Organization
MAXIMUM POTENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNELL L CHRISTENSEN LMFT PH.D (OWNER)
(801) 330-3651
Entity
Organization
Contact information
Practice address
9067 S 1300 W STE 204, WEST JORDAN, UT 84088-5582
(801) 748-2192
(385) 234-4822
Mailing address
9067 S 1300 W STE 204, WEST JORDAN, UT 84088-5582
(801) 748-2192
(385) 234-4822
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
293367-6004
UT
106H00000X
Marriage & Family Therapist
Primary
11209--3902
UT
106H00000X
Marriage & Family Therapist
6972251-3902
UT
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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