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NPI Code Detail

MEDICARE: CARLA HUFFSTETLER MFT

MEDICARE: CARLA HUFFSTETLER MFT
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
1106H00000XMarriage & Family Therapist373646-3902UT

General Provider Information

NPI Number : 1962451567
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA HUFFSTETLER MFT
Provider Business Mailing Address
First Line : 724 E 2100 S
Second Line : SUITE B
City : S SALT LAKE
State : UT
Zip : 84106-1830
Country : US
Telephone Number : 801-487-0499
Fax Number : 801-487-7005
Provider Business Practice Location Address
First Line : 724 E 2100 S
Second Line : SUITE B
City : S SALT LAKE
State : UT
Zip : 84106-1830
Country : US
Telephone Number : 801-487-0499
Fax Number : 801-487-7005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 12/13/2013

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Directions to “ CARLA HUFFSTETLER MFT” Practice Location

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