Provider Demographics
NPI:1215141817
Name:FARRER, CHRIS G (LCSW)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:G
Last Name:FARRER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CENTRAL VALLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84754-3350
Mailing Address - Country:US
Mailing Address - Phone:435-896-6446
Mailing Address - Fax:
Practice Address - Street 1:682 NORTH MAIN
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701
Practice Address - Country:US
Practice Address - Phone:435-201-9576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT122549-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical