Benallie, Kandice Jaclynn

Benallie, Kandice Jaclynn is an individual health care provider with primary practice located at 170 S 1000 E Ste 201 , Salt Lake City UT 84102-1403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Benallie, Kandice Jaclynn can be contacted via phone (801) 419-0139.

Contact Information

Primary practice address
170 S 1000 E Ste 201 Salt Lake City UT 84102-1403
Phone: (801) 419-0139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 13531066-2501 Utah
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 13531066-2501 Utah

Profile Details

NPI number 1770265027
LBN Legal business name Benallie, Kandice Jaclynn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2023
Last updated Mar 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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