MCKENNA WALLENTINE, LCSW

Social Worker - Clinical

Active Individual
NPI: 1881142552

Practice Address

1300 E CENTER ST
Provo, UT 84606

Phone: (801) 344-4215

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X No -
Social Worker - Clinical 1041C0700X Yes -

Frequently Asked Questions

NPI 1881142552 is the National Provider Identifier for MCKENNA WALLENTINE, LCSW, a Social Worker - Clinical provider located in Provo, UT. This NPI was enumerated on September 12, 2016.
MCKENNA WALLENTINE, LCSW practices at 1300 E CENTER ST, Provo, UT 84606.

Quick Facts

NPI
1881142552
Type
Individual
Enumerated
Sep 12, 2016
Last Updated
Sep 16, 2021

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