Provider Demographics
NPI:1053484014
Name:BENTON, CATHERINE (LPC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:BENTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3542 FIELDSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84121-5534
Mailing Address - Country:US
Mailing Address - Phone:801-215-9445
Mailing Address - Fax:801-930-5018
Practice Address - Street 1:8188 HIGHLAND DR
Practice Address - Street 2:SUITE D4
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-6476
Practice Address - Country:US
Practice Address - Phone:801-215-9445
Practice Address - Fax:801-930-5018
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2010-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT373116-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional