Individual
PAUL THOMAS CALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
275 E SOUTH TEMPLE STE 202, SALT LAKE CITY, UT 84111-1273
(801) 755-5138
Mailing address
PO BOX 4102, SALT LAKE CITY, UT 84110
(801) 755-5138
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
76991046009
UT
Other
Enumeration date
10/05/2010
Last updated
06/08/2016
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