Individual
RACHEL J ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
724 E 2100 S, SALT LAKE CITY, UT 84106-1830
(801) 487-0499
Mailing address
3617 S 860 E APT 41, SALT LAKE CITY, UT 84106-4651
(360) 503-3965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12201231-3501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2020
Last updated
01/04/2024
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