Individual
KATIE SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3688 E CAMPUS DR STE 130, EAGLE MOUNTAIN, UT 84005-5339
(801) 373-4760
Mailing address
6809 N CHEROKEE ST, EAGLE MOUNTAIN, UT 84005-6192
(801) 372-3061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
13752606-6009
UT
Other
Enumeration date
06/28/2023
Last updated
06/20/2025
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