Individual
HOLLY KAYE ANCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
151 S UNIVERSITY AVE # 1400, PROVO, UT 84601-4427
(801) 851-7118
(801) 851-7137
Mailing address
481 E 2875 N, PROVO, UT 84604-4237
(435) 680-8603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11771987-3502
UT
1041C0700X
Clinical Social Worker
11771987-3502
UT
Other
Enumeration date
09/19/2018
Last updated
06/22/2022
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