Individual
ELLA J LOVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
728 ROOSEVELT AVE, SALT LAKE CITY, UT 84105-2233
(801) 466-8385
Mailing address
728 ROOSEVELT AVE, SALT LAKE CITY, UT 84105-2233
(801) 466-8385
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
130445-3501
UT
1041C0700X
Clinical Social Worker
Primary
130445-3501
UT
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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