Provider Demographics
NPI:1447902689
Name:BITNER, MARY (CMHCI)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:BITNER
Suffix:
Gender:F
Credentials:CMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 W 9000 S STE 1
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-2043
Mailing Address - Country:US
Mailing Address - Phone:801-792-1150
Mailing Address - Fax:
Practice Address - Street 1:47 W 9000 S STE 1
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-2043
Practice Address - Country:US
Practice Address - Phone:801-792-1150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health