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Organization
SANCTUARY FOR HEALING & INTEGRATION PLLC
Active
Organization
SANCTUARY FOR HEALING & INTEGRATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMELA J JAVELLANA M.D. (OWNER)
(801) 268-0333
Entity
Organization
Contact information
Practice address
860 E 4500 S STE 302, SALT LAKE CITY, UT 84107-3018
(801) 268-0333
(801) 268-3777
Mailing address
860 E 4500 S STE 302, SALT LAKE CITY, UT 84107-3018
(801) 268-0333
(801) 268-3777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
280094-1205
UT
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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