Individual
MRS. ANDREA MELLEN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
562 W PACIFIC DR, AMERICAN FORK, UT 84003-1406
(801) 477-4084
Mailing address
562 W PACIFIC DR, AMERICAN FORK, UT 84003-1406
(801) 477-4084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11767362-3502
UT
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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