Individual
DR. MITCHELL R. KOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
505 E 200 S, SUITE 303, SALT LAKE CITY, UT 84102-2022
(801) 350-0121
(801) 350-9582
Mailing address
505 E 200 S, SUITE 303, SALT LAKE CITY, UT 84102-2022
(801) 350-0121
(801) 350-9582
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
116938-2501
UT
Other
Enumeration date
12/25/2006
Last updated
07/09/2007
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