Individual
JULIE ANN CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
95 S 100 E, PAYSON, UT 84651-2252
(801) 382-9338
(801) 383-0246
Mailing address
95 S 100 E STE 300, PAYSON, UT 84651-2253
(801) 333-0246
(801) 383-0246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8642853-6004
UT
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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