Provider Demographics
NPI:1881221828
Name:HULLINGER, MONICA ANN (CMHC)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:ANN
Last Name:HULLINGER
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4076 W 5600 S
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-4333
Mailing Address - Country:US
Mailing Address - Phone:801-362-9144
Mailing Address - Fax:
Practice Address - Street 1:1169 S 600 E
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-4561
Practice Address - Country:US
Practice Address - Phone:801-864-0801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT313676-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT313676-6004OtherCMHC