Healthcare Provider Details

I. General information

NPI: 1801702311
Provider Name (Legal Business Name): HALEY CHRISTENSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10416 S 1055 W STE 201
SOUTH JORDAN UT
84095-1503
US

IV. Provider business mailing address

2549 E ALTAMONT CIR
SANDY UT
84092-3301
US

V. Phone/Fax

Practice location:
  • Phone: 801-683-1160
  • Fax:
Mailing address:
  • Phone: 801-809-3117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: