Individual
CHARLYN LESLIE RAABERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 E 4500 S STE 202, SALT LAKE CITY, UT 84107-3014
(801) 262-9619
Mailing address
266 E 4TH AVE APT 308, SALT LAKE CITY, UT 84103-2489
(801) 455-1202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4981310-6004
UT
Other
Enumeration date
04/09/2020
Last updated
11/27/2023
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