Individual
EVELYN AISSA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7625 S 3200 W STE 2, WEST JORDAN, UT 84084-2887
(801) 915-0359
Mailing address
154 W 600 S UNIT 538, SALT LAKE CITY, UT 84101-2835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14225228-3502
UT
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
08/08/2023
Last updated
06/11/2026
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