Individual
LAIL LOUISE BERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
7084 S 2300 E STE 140, SALT LAKE CITY, UT 84121-3969
(512) 788-1132
Mailing address
7084 S 2300 E STE 140, SALT LAKE CITY, UT 84121-3969
(512) 788-1132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10854940-6004
UT
101YM0800X
Mental Health Counselor
Primary
10854940-6009
UT
Other
Enumeration date
08/08/2018
Last updated
02/04/2022
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