Individual
ALVILDA OLIVIA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(801) 359-8862
Mailing address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(801) 359-8862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
327132-6009
UT
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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