Individual
KORILYNN CHEATHAM BARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 S 400 E STE 300, SALT LAKE CITY, UT 84111-5307
(801) 467-2863
Mailing address
4962 W 7670 S, WEST JORDAN, UT 84081-3675
(801) 783-6712
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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