Provider Demographics
NPI:1992437768
Name:DONAT, KRISTIANE MADSEN (LMFT)
Entity type:Individual
Prefix:
First Name:KRISTIANE
Middle Name:MADSEN
Last Name:DONAT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:
Other - Last Name:DONAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:938 UNIVERSITY PARK BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84015-6284
Mailing Address - Country:US
Mailing Address - Phone:801-896-3376
Mailing Address - Fax:888-388-0398
Practice Address - Street 1:938 UNIVERSITY PARK BLVD STE 130
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-6284
Practice Address - Country:US
Practice Address - Phone:801-896-3376
Practice Address - Fax:888-388-0398
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-29
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7787806-3902106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTHT008911-001OtherUHIN