Dr. Shannon Candice Metzler, Ph.D., LCSW
Social Worker, Clinical in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1982155008
StatusActive
Last updated in NPPESJul 15, 2021
Details
- NPI
- 1982155008
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shannon Candice Metzler
- Credential
- Ph.D., LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2016
- Certification date
- May 5, 2021
- Last updated
- Jul 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 8738202-3501 | UT | Yes |
| 101YM0800X | Counselor, Mental Health | 8738202-3502 | UT |
Practice location
1399 S 700 E Ste 2Salt Lake City, UT 84105-2157
Phone 801-554-4943
Mailing address
2420 E 6895 S Apt 10Cottonwood Heights, UT 84121-3361
Phone 801-554-4943
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