Individual
DR. JANINE WANLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
350 S 400 E, SUITE 121E, SALT LAKE CITY, UT 84111-2908
(801) 328-9204
Mailing address
1641 GARFIELD AVE, SALT LAKE CITY, UT 84105-3810
(801) 487-4403
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
363402-2501
UT
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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