Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH LAKE HENNEFER, LCSW
Active Sole ProprietorMental Health Counselor · MIDVALE, UT
Registration Details
- NPI Number
- 1538207154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2007 (19.214195021045 yrs)
- Last Updated
- Jul 8, 2007
- License
-
116860-3501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7321 S STATE STSTE A-BMIDVALE, UT, 840472055Browse UT providers · Browse ZIP 84047
- Phone
- 8013522844
- Fax
- 8019421973
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in MIDVALE, UT
| Name | Credential | NPI |
|---|---|---|
| HILARY CHESLA MADSEN | CSW | 1528214327 |
| MS. REGINA GULICK | CMHC | 1972823953 |
| SAMMY BROWN | — | 1417241829 |
| GEORGE ANDREW FISH | MA, CMHC | 1083975718 |
| KIRSTY MCLAREN | — | 1043568710 |
| JESSIE HOWES | ACMHC | 1699190587 |
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.