Individual
KAYLEE STOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
4933 S 1500 W STE 200, RIVERDALE, UT 84405-7738
(801) 525-4645
Mailing address
4933 S 1500 W STE 200, RIVERDALE, UT 84405-7738
(801) 525-4645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11845503-6004
UT
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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