Individual
ELYSE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(854) 684-4773
Mailing address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(385) 468-4477
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
8001374-6004
UT
Other
Enumeration date
11/11/2010
Last updated
12/15/2023
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