Individual
ALLAN K. PAUOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
1055 N 500 W BLDG A, PROVO, UT 84604-3305
(801) 812-5033
(801) 812-5034
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
359568-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
359568-6009
STATE OF UTAH
UT
Enumeration date
09/23/2008
Last updated
01/05/2024
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