Provider Demographics
NPI:1295487486
Name:ENGEBRETSEN, KARLI (LMFT)
Entity type:Individual
Prefix:
First Name:KARLI
Middle Name:
Last Name:ENGEBRETSEN
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 1:2193 E WESTMINSTER AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-3269
Mailing Address - Country:US
Mailing Address - Phone:385-394-2578
Mailing Address - Fax:
Practice Address - Street 1:2193 E WESTMINSTER AVE
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-3269
Practice Address - Country:US
Practice Address - Phone:385-394-2578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health