Kenneth Lake Hennefer, LCSW

NPI #1538207154 in Midvale, Utah

Provider Information

NPI Number
1538207154
Entity Type
Individual
Name
Kenneth Lake Hennefer, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCSW
Enumeration Date
Feb 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
7321 S STATE ST
Address 2
STE A-B
State
Utah
ZIP Code
84047-2055
Phone
(801) 352-2844

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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