Individual
MS. CLAIR MELLENTHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1308 S 1700 E STE 210, SALT LAKE CITY, UT 84108-2273
(801) 949-4524
(801) 355-9614
Mailing address
1308 S 1700 E STE 210, SALT LAKE CITY, UT 84108-2273
(801) 949-4524
(801) 355-9614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5228904-3501
UT
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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