Individual
KAYLA ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
12569 S 2700 W, RIVERTON, UT 84065-7182
(801) 209-9797
(801) 206-3506
Mailing address
12569 S 2700 W, RIVERTON, UT 84065-7182
(801) 209-9797
(801) 206-3506
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
12355694-6017
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60940944
WA
101YM0800X
Mental Health Counselor
12355694-6009
UT
101YM0800X
Mental Health Counselor
MC61080470
WA
101YP2500X
Professional Counselor
Primary
12355694-6009
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/23/2020
Last updated
06/11/2026
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