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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLES L DIVINEY III, MC, LPC, NCC, CCMHC

Active Sole Proprietor

MR. CHARLES L DIVINEY III, MC, LPC, NCC, CCMHC is a Professional Counselor healthcare provider located in SALT LAKE CITY, Utah. NPI 1174588230 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · SALT LAKE CITY, UT

Registration Details

NPI Number
1174588230
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2006 (20.306080843296 yrs)
Last Updated
Jul 7, 2010
Licenses
340426-6004 (UT)
340426-6004 (UT)
340426-6004 (UT)
Sole Proprietor
Yes

Practice Information

Address
352 DENVER ST
SUITE 215
SALT LAKE CITY, UT, 841113000
Browse UT providers · Browse ZIP 84111
Phone
8015214227
Fax
8013590777
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor

Other Professional Counselor Providers in SALT LAKE CITY, UT

Name Credential NPI
MRS. BARBARA ANN MINETTE LPC 1962487405
MS. MARTHA LARAINE MINER LPC 1871571638
MARSHA A GUSTAFSON LPC 1114997319
MR. DON FENNIMORE LPC 1376515288
SHAWN RICHARD COOPER L.P.C. 1255304481
KARL E SEASHORE M.S., L.P.C. 1518934744
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.