Individual
DIANE ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
(714) 434-2675
Mailing address
4460 S HIGHLAND DR STE 200, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
(714) 434-2675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2008
Last updated
07/13/2021
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