Organization
FELLER BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CARL FELLER PHD, LCSW (OWNER)
(801) 809-1049
Entity
Organization
Contact information
Practice address
537 W 2600 S STE 203, BOUNTIFUL, UT 84010-7780
(801) 809-1049
Mailing address
537 W 2600 S STE 203, BOUNTIFUL, UT 84010-7780
(801) 809-1049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7057775-3501
UT
Other
Enumeration date
07/22/2013
Last updated
09/06/2013
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