Provider Demographics
NPI:1750529723
Name:FIGUERRES, KEVIN SHITAMOTO (LMFT)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:SHITAMOTO
Last Name:FIGUERRES
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 TERRA LINDA DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-2733
Mailing Address - Country:US
Mailing Address - Phone:801-277-2722
Mailing Address - Fax:
Practice Address - Street 1:8184 HIGHLAND DR
Practice Address - Street 2:C-8
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-6477
Practice Address - Country:US
Practice Address - Phone:801-944-1666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-29
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7236803-3904106H00000X
UT7236803-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist