Katherine A Gardiner, L.P.C., R.P.T.
Individual provider Active NPI Professional Counselor · Kearns, UT
NPI 1669408019 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669408019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 354185-6004 (UT)
- Practice address
- 5242 S 4820 W
Kearns, UT 84118-6422 - Phone
- (801) 966-4251
- Fax
- (801) 966-4289
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 354185-6004 | UT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 354185-6004 | UT | Yes |
Addresses
Primary practice location
5242 S 4820 W
Kearns, UT 84118-6422
Mailing address
186 F St
Salt Lake City, UT 84103-2604
Phone (801) 966-4251
Other providers in Kearns, UT
- Linda Marie Firneno
- Malinda Jo Freitag
- Jennifer Frischknecht
- Destiny Garcia
- Peter Garcia Jr.
- Amy I Gaugh
- Glades Hyland Pharmacies
- Maria Fernanda Gonzalez
- Sterling Rossiter Goodwin
- Jessica Lesley Hale
All providers in Kearns, UT · Professional Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.