Individual
MS. CARRIE JO REALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
3375 W MAYFLOWER WAY STE A, LEHI, UT 84043
(801) 331-6775
(801) 766-2010
Mailing address
3375 W MAYFLOWER WAY STE A, LEHI, UT 84043-3135
(801) 331-6775
(801) 766-2010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
139247-6004
UT
Other
Enumeration date
12/11/2010
Last updated
09/06/2018
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