Provider Demographics
NPI:1528398757
Name:HIRSCHI, SHERENE (LPC)
Entity Type:Individual
Prefix:
First Name:SHERENE
Middle Name:
Last Name:HIRSCHI
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 1:634 S 2150 W APT 202
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-3675
Mailing Address - Country:US
Mailing Address - Phone:801-885-3664
Mailing Address - Fax:
Practice Address - Street 1:634 S 2150 W APT 202
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-3675
Practice Address - Country:US
Practice Address - Phone:801-885-3664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT61720606004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional