Ackerman, Serena Isidora

Ackerman, Serena Isidora is an sole proprietor health care provider with primary practice located at 175 E Ridgeline Way , North Salt Lake UT 84054-3001. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ackerman, Serena Isidora can be contacted via phone (801) 809-4911.

Contact Information

Primary practice address
175 E Ridgeline Way North Salt Lake UT 84054-3001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 12158508-3501 Utah

Profile Details

NPI number 1992443691
LBN Legal business name Ackerman, Serena Isidora
Credentials CSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2022
Last updated May 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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