Individual
KELLY ENSIGN EHLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
4933 S 1500 W STE 200, RIVERDALE, UT 84405-7738
(801) 603-1544
Mailing address
1932 CHELEMES WAY, CLEARFIELD, UT 84015-6222
(801) 898-2030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13028631-6004
UT
Other
Enumeration date
06/12/2023
Last updated
08/14/2024
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