Organization
THERESA IPOLITO LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA IPOLITO LCSW (OWNER/THERPIST)
(716) 725-8542
Entity
Organization
Contact information
Practice address
688 E 3RD AVE, SALT LAKE CITY, UT 84103-3452
(716) 725-8542
Mailing address
688 E 3RD AVE, SALT LAKE CITY, UT 84103-3452
(716) 725-8542
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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