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NPI Code Detail

MEDICARE: CATHERINE SUSANNE DUCHENE CMHC

MEDICARE: CATHERINE SUSANNE DUCHENE CMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor12296778-6009UT

General Provider Information

NPI Number : 1538828090
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE SUSANNE DUCHENE CMHC
Provider Business Mailing Address
First Line : 515 S 700 E STE 2D
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-2858
Country : US
Telephone Number : 480-840-7349
Fax Number :
Provider Business Practice Location Address
First Line : 515 S 700 E STE 2D
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-2858
Country : US
Telephone Number : 480-840-7349
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2021
Last Update Date : 10/30/2023

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