Provider Demographics
NPI:1942632286
Name:DANIELS, KRISTI (ACMHC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:
Last Name:DANIELS
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3748 S 3600 W
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-6878
Mailing Address - Country:US
Mailing Address - Phone:801-644-4225
Mailing Address - Fax:
Practice Address - Street 1:3748 S 3600 W
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:UT
Practice Address - Zip Code:84401-6878
Practice Address - Country:US
Practice Address - Phone:801-644-4225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8650286-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health