Organization
KARL E SEASHORE, LPC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL E SEASHORE M.S., L.P.C. (PRESIDENT)
(801) 272-0613
Entity
Organization
Contact information
Practice address
4190 HIGHLAND DR, SUITE 211, SALT LAKE CITY, UT 84124-2600
(801) 272-0613
(801) 272-0678
Mailing address
4190 HIGHLAND DR, SUITE 211, SALT LAKE CITY, UT 84124-2600
(801) 272-0613
(801) 272-0678
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
362944-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66020
UNI BEHAVIORAL HEALTH NET
UT
Enumeration date
03/07/2006
Last updated
08/22/2020
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