Individual
AINSLEY WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
498 N 900 W STE 220, KAYSVILLE, UT 84037-4189
(801) 814-1074
Mailing address
498 N 900 W STE 220, KAYSVILLE, UT 84037-4189
(801) 814-1074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8361958-3501
UT
Other
Enumeration date
06/22/2010
Last updated
07/06/2022
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