Provider Demographics
NPI:1720537210
Name:LETENDRE, DENA (LCMHC)
Entity Type:Individual
Prefix:
First Name:DENA
Middle Name:
Last Name:LETENDRE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3067 W 350 N
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-8816
Mailing Address - Country:US
Mailing Address - Phone:801-388-6444
Mailing Address - Fax:
Practice Address - Street 1:3067 W 350 N
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-8816
Practice Address - Country:US
Practice Address - Phone:801-388-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT316327-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health