Individual
LISA RAE CHATELAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAC
Contact information
Practice address
4326 S HOLLADAY BLVD, HOLLADAY, UT 84124-2702
(801) 541-5512
Mailing address
4326 S HOLLADAY BLVD, HOLLADAY, UT 84124-2702
(801) 541-5512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7491770-6006
UT
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
09/18/2025
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