Provider Demographics
NPI:1528886611
Name:BRADY, KERRI CHRISTENSEN (MFT-I)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:CHRISTENSEN
Last Name:BRADY
Suffix:
Gender:F
Credentials:MFT-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13247 S AKAGI LN
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-8215
Mailing Address - Country:US
Mailing Address - Phone:949-636-9900
Mailing Address - Fax:
Practice Address - Street 1:5411 S VINE ST STE 6
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-7746
Practice Address - Country:US
Practice Address - Phone:949-636-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-28
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist