Provider Demographics
NPI:1629726377
Name:CHRISTENSEN, SHERIE A (LMFT)
Entity Type:Individual
Prefix:
First Name:SHERIE
Middle Name:A
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9441 S WASATCH VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-9291
Mailing Address - Country:US
Mailing Address - Phone:339-224-7940
Mailing Address - Fax:
Practice Address - Street 1:5663 S REDWOOD RD UNIT 2
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123-5449
Practice Address - Country:US
Practice Address - Phone:385-424-4082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5725927-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist