Individual
MR. WESLEY BERTAGNOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 S STATE ST, SALT LAKE CITY, UT 84115-2311
(307) 267-4049
Mailing address
7088 S PALO VERDE WAY APT 32, COTTONWOOD HEIGHTS, UT 84121-6751
(307) 267-4049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13329991-6004
UT
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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