Individual
MRS. CHARLOTTE ANN CANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED LCPC
Contact information
Practice address
535 E 4500 S STE 280, SALT LAKE CITY, UT 84107-2929
(801) 440-6381
Mailing address
6966 S CHERRY LEAF DR APT 411, WEST JORDAN, UT 84084-5782
(801) 440-6381
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8595304-6004
UT
Other
Enumeration date
08/16/2006
Last updated
09/17/2016
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