Individual
CAROLE MOUNTEER KAMRADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1258 W SOUTH JORDAN PKWY, SUITE 202, SOUTH JORDAN, UT 84095-4711
(801) 255-1155
Mailing address
1258 W SOUTH JORDAN PKWY, SUITE 202, SOUTH JORDAN, UT 84095-4711
(801) 255-1155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7687208-3501
UT
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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