| Kathryn Wingard Creative Counseling | |
|
940 E South Union Ave Midvale UT 84047-2302 | |
| (385) 346-0031 | |
| (385) 446-0973 |
| Full Name | Kathryn Wingard Creative Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 940 E South Union Ave, Midvale, Utah |
| Authorized Official Name and Position | Kathryn Wingard (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 3853460031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Wingard Creative Counseling 5622 S Walden Glen Dr Salt Lake City UT 84123-7925 Ph: (385) 346-0031 | Kathryn Wingard Creative Counseling 940 E South Union Ave Midvale UT 84047-2302 Ph: (385) 346-0031 |
| NPI Number | 1811651938 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811651938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| 221700000X | Art Therapist | () | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | () | Secondary |
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