Individual
KAYLUM JAMES PALETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPC-1179
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
6854217-6004
UT
Other
Enumeration date
03/23/2007
Last updated
04/28/2022
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