Individual provider · Type 1 NPI

Carol Elaine Lawrencecostley

Mental Health Counselor · Salt Lake City, UT

NPI number 1801407929 Active

Practice location

339 E 3900 S Ste 155
Salt Lake City, UT 84107-1978

Call (801) 263-1056 Map

Fax (801) 261-3701

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X131826-3502 (UT)
Mental Health Counselor Primary 101YM0800X131826-3502 (UT)

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About NPI 1801407929

Carol Elaine Lawrencecostley's National Provider Identifier is 1801407929, issued on Aug 12, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 12, 2020.