Lopez, Kassidy Rae
Lopez, Kassidy Rae is an individual health care provider with primary practice located at 1208 E 3300 S , Millcreek UT 84106-2522. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lopez, Kassidy Rae can be contacted via phone (801) 483-1600.Contact Information
Primary practice address
1208 E 3300 S
Millcreek UT 84106-2522
Phone: (801) 483-1600
Fax: (801) 483-1610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 122470653501 | Utah |
Profile Details
| NPI number | 1871291989 |
|---|---|
| LBN Legal business name | Lopez, Kassidy Rae |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2023 |
| Last updated | Feb 17th, 2023 - 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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