Doctor Name: | KAREN REDD |
NPI Number: | 1114266988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCMHC |
License Number: | 7331809-6004 |
Business Practice Address: | 386 N Main St Centerville, UT - 840141819 |
Business Phone Number: | 8012982000 |
Business Fax Number: | |
Mailing Address: | 3956 S 2000 E, HOLLADAY |
State: | UT |
Postal Code: | 841241731 |
Phone Number: | 8018563142 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2013 |
NPI Last Update Date: | 02/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 7331809-6004 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |