Kindled Light Therapy and Wellness

NPI #1295463578 in Provo, Utah

Provider Information

NPI Number: 1295463578
Entity Type: Organization
Organization Name: Kindled Light Therapy and Wellness
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 12, 2022
Last Updated: May 17, 2023

Practice Location

Address: 1881 N 1120 W
City: Provo
State: Utah
ZIP Code: 84604-1180
Phone: (801) 228-8069

Authorized Official

Name: KAREN PENDLETON, LCSW
Title: OWNER
Phone: (801) 228-8069

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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