Fuentes Mendieta, Giannina
Fuentes Mendieta, Giannina is an sole proprietor health care provider with primary practice located at 415 Medical Dr Ste D101 , Bountiful UT 84010-8905. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fuentes Mendieta, Giannina can be contacted via phone (801) 683-1062.Contact Information
Primary practice address
415 Medical Dr Ste D101
Bountiful UT 84010-8905
Phone: (801) 683-1062
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 8483250-3503 | Utah |
Profile Details
| NPI number | 1699220442 |
|---|---|
| LBN Legal business name | Fuentes Mendieta, Giannina |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2016 |
| Last updated | Nov 27th, 2023 - about 3 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.
Popular Providers
-
Ericksen, Alena
505 S Main St , Bountiful UT 84010-6398 -
Smith, Ariel
501 W 2600 S Ste 200 , Bountiful UT 84010-7785 -
Manco, Justin
415 Medical Dr Ste D101 , Bountiful UT 84010-8905 -
Horne, Candace
415 Medical Dr Ste D101 , Bountiful UT 84010-8905 -
Morales, Rosa
501 W 2600 S Suite 200, Bountiful UT 84010-7784 -
Wall, Nicole
1355 N Main St Suite 1, Bountiful UT 84010-5981 -
Zimmerman, Rita
415 Medical Dr Suite D 101, Bountiful UT 84010-4946 -
Geis, Stephen R
585 W 500 S Ste 200 , Bountiful UT 84010-8321