SANDRA KILLEBREW AMFT NPI 1205445731

NPI Information

NPI: 1205445731
Provider Name: SANDRA KILLEBREW, AMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
10808 S RIVER FRONT PKWY STE 361
SOUTH JORDAN, UT
ZIP 84095
Phone: (737) 210-6753
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Sandra Killebrew, AMFT is a mental health counselor in South Jordan, UT. Sandra Killebrew, AMFT NPI is 1205445731. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10808 S RIVER FRONT PKWY STE 361
SOUTH JORDAN, UT
ZIP 84095-300
Phone: (737) 210-6753

The enumeration date for this NPI number is 7/30/2020 and was last updated on 7/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	11768842-3904	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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