Healthcare Provider Details

I. General information

NPI: 1295206274
Provider Name (Legal Business Name): KARYNN CAMP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

962 CHAMBERS ST STE 10
SOUTH OGDEN UT
84403-5091
US

IV. Provider business mailing address

1630 W 2000 S APT 103C
WEST HAVEN UT
84401-0258
US

V. Phone/Fax

Practice location:
  • Phone: 385-298-6737
  • Fax:
Mailing address:
  • Phone: 385-298-6737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13581197-3502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: