Kenneth Lake Hennefer, LCSW | |
7321 S State St, Ste A-b, Midvale, UT 84047-2055 | |
(801) 352-2844 | |
(801) 942-1973 |
Full Name | Kenneth Lake Hennefer |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 62 Years |
Location | 7321 S State St, Midvale, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538207154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 116860-3501 (Utah) | Primary |
Entity Name | Kenneth L Hennefer And Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316261167 PECOS PAC ID: 9638206063 Enrollment ID: O20100416000221 |
Mailing Address | Practice Location Address |
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Kenneth Lake Hennefer, LCSW 3231 Mcneill Cir, Sandy, UT 84093-2136 Ph: (801) 942-1973 | Kenneth Lake Hennefer, LCSW 7321 S State St, Ste A-b, Midvale, UT 84047-2055 Ph: (801) 352-2844 |
Corey James Markisich, LSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 S 300 W, Suite 101, Midvale, UT 84047 Phone: 801-984-1717 Fax: 801-984-1720 | |
Meg Blair Radunich, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7070 S Union Park Ave Ste 150, Midvale, UT 84047 Phone: 801-528-7309 | |
Kirsty Mclaren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6771 S 900 E, Midvale, UT 84047 Phone: 801-386-9799 | |
George Andrew Fish, MA, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7070 S Union Park Ave Ste 150, Midvale, UT 84047 Phone: 801-528-7309 Fax: 385-446-2650 | |
Mr. Michael William Dahlgren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 E Fort Union Blvd Ste 135, Midvale, UT 84047 Phone: 801-603-2547 | |
Kaitlin Olsen, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 613 E Fort Union Blvd Ste 104, Midvale, UT 84047 Phone: 801-984-1717 Fax: 801-984-1720 | |
Kristina Moriah Maccaughan, ACMHC, ATR-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 E South Union Ave, Midvale, UT 84047 Phone: 385-346-0031 |