Individual
CELISE KATHLEEN BALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 W 1000 S APT D107, OREM, UT 84058-4124
(385) 436-3176
Mailing address
1225 W 1000 S APT D107, OREM, UT 84058-4124
(385) 436-3176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
UT
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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