person
Mr. Wade Poulsen
Mental Health Counselor in Salt Lake City, Utah
NPI 1427355650

Wade Poulsen is a Mental Health Counselor based in Salt Lake City, UT and is specialized in Mental Health. Wade Poulsen practices in Salt Lake City, UT. The NPI Number for Wade Poulsen is 1427355650 and holds a License No. 7966792-6004 (Utah).

The current practice location address for Wade Poulsen is 145 E 1300 S, Salt Lake City, UT and can be reached out via phone at 385-468-3559 and via fax at 385-468-3560.

Location: 145 E 1300 S, Salt Lake City, UT, 84115-5482
person
Provider Profile Details
NPI Number
1427355650
Provider Name
Wade Poulsen
Credential
Provider Entity Type
Individual
Gender
Male
Address
145 E 1300 S, Salt Lake City, UT, 84115-5482
Phone Number
385-468-3559
Fax Number
385-468-3560
Provider Enumeration Date
02/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
145 E 1300 S
City
State
Zip
84115-5482
Phone Number
385-468-3559
Fax Number
385-468-3560
person
Provider Business Mailing Address Details
Address
145 E 1300 S
City
State
Zip
84115-5482
Phone Number
385-468-3559
Fax Number
385-468-3560
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
7966792-6004 (Utah)
Definition
Definition to come...
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