Provider Demographics
NPI:1972076651
Name:HUEFNER, ELSIE ELIZABETH (PHD, CMHC, NCC, DE)
Entity type:Individual
Prefix:DR
First Name:ELSIE
Middle Name:ELIZABETH
Last Name:HUEFNER
Suffix:
Gender:F
Credentials:PHD, CMHC, NCC, DE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6375 S HIGHLAND DR # 102
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-6561
Mailing Address - Country:US
Mailing Address - Phone:801-618-5243
Mailing Address - Fax:800-859-6928
Practice Address - Street 1:6375 S HIGHLAND DR STE 102
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84121-6561
Practice Address - Country:US
Practice Address - Phone:801-618-5243
Practice Address - Fax:800-859-6928
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-06
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT320042-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health