MR. CHARLES DIVINEY III, MC, LPC, NCC, CCMHC

Counselor - Professional

Active Individual
NPI: 1174588230

Practice Address

352 DENVER ST
SUITE 215
Salt Lake City, UT 84111

Phone: (801) 521-4227

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 340426-6004 (UT)
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 340426-6004 (UT)
Counselor - Mental Health 101YM0800X No 340426-6004 (UT)

Frequently Asked Questions

NPI 1174588230 is the National Provider Identifier for MR. CHARLES DIVINEY III, MC, LPC, NCC, CCMHC, a Counselor - Professional provider located in Salt Lake City, UT. This NPI was enumerated on April 19, 2006.
MR. CHARLES DIVINEY III, MC, LPC, NCC, CCMHC practices at 352 DENVER ST, SUITE 215, Salt Lake City, UT 84111.

Quick Facts

NPI
1174588230
Type
Individual
Enumerated
Apr 19, 2006
Last Updated
Jul 7, 2010

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