Individual
ELIZABETH ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1664 S DIXIE DR STE F102, ST GEORGE, UT 84770-7329
(435) 767-7515
Mailing address
2259 MOUNTAIN VIEW CIR, ST GEORGE, UT 84790-8080
(801) 309-4887
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
9436070-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9436070-3502
CERTIFIED SOCIAL WORKER LICENSE
UT
Enumeration date
09/21/2020
Last updated
04/20/2022
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