Provider Demographics
NPI:1013327352
Name:CARVER, KAMRIN (LMFT, CSAT)
Entity Type:Individual
Prefix:
First Name:KAMRIN
Middle Name:
Last Name:CARVER
Suffix:
Gender:M
Credentials:LMFT, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 S SUNSET RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84054-0186
Mailing Address - Country:US
Mailing Address - Phone:801-710-0780
Mailing Address - Fax:
Practice Address - Street 1:484 S SUNSET RIDGE DR
Practice Address - Street 2:
Practice Address - City:NORTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84054-0186
Practice Address - Country:US
Practice Address - Phone:801-710-0780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-07
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT60127203902106H00000X
UT60127203904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist