Provider Demographics
NPI:1114508470
Name:DURRANT, ADRIANNE ANNETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:ANNETTE
Last Name:DURRANT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 W 400 N
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-1567
Mailing Address - Country:US
Mailing Address - Phone:435-669-3811
Mailing Address - Fax:
Practice Address - Street 1:5411 S VINE ST UNIT 6
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-7746
Practice Address - Country:US
Practice Address - Phone:435-669-3811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10948471-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical