Organization
INCLUSIVE MINDED COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LILIA SOTO CEBALLOS LCSW (OWNER & THERAPIST)
(801) 210-9159
Entity
Organization
Contact information
Practice address
3763 S SECORD ST, SOUTH SALT LAKE, UT 84115-4771
(801) 210-1686
Mailing address
5495 S 4015 W UNIT 18156, SALT LAKE CITY, UT 84118-9407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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