Individual
MS. CLAIRE DELISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
11260 S RIVER HEIGHTS DR, SOUTH JORDAN, UT 84095-5119
(385) 308-8403
Mailing address
11260 S RIVER HEIGHTS DR, SOUTH JORDAN, UT 84095-5119
(385) 308-8403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11077067-6004
UT
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
11077067-6009
UT
Other
Enumeration date
11/18/2019
Last updated
01/11/2024
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