Individual
SHAUN SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, SUITE 301, SLC, UT 84111-1700
(801) 322-4257
Mailing address
2990 S BLAIR ST, SALT LAKE CITY, UT 84115-4050
(208) 821-7873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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