person
Kaelea Rose Wagaman-hasselstrom, ALSUDC
Addiction (Substance Use Disorder) Counselor in Salt Lake City, Utah
NPI 1598416349

Kaelea Rose Wagaman-hasselstrom is an Addiction (Substance Use Disorder) Counselor based in Salt Lake City, UT and is specialized in Addiction (Substance Use Disorder). Kaelea Rose Wagaman-hasselstrom practices in Salt Lake City, UT and has the professional credentials of ALSUDC. The NPI Number for Kaelea Rose Wagaman-hasselstrom is 1598416349 and holds a License No. 12592546-6008 (Utah).

The current practice location address for Kaelea Rose Wagaman-hasselstrom is 950 E 3300 S, Salt Lake City, UT and can be reached out via phone at 801-359-8862.

Location: 950 E 3300 S, Salt Lake City, UT, 84116-4014
person
Provider Profile Details
NPI Number
1598416349
Provider Name
Kaelea Rose Wagaman-hasselstrom
Credential
ALSUDC
Provider Entity Type
Individual
Gender
Female
Address
950 E 3300 S, Salt Lake City, UT, 84116-4014
Phone Number
801-359-8862
Fax Number
Provider Enumeration Date
01/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
950 E 3300 S
City
State
Zip
84106-2141
Phone Number
801-359-8862
Fax Number
person
Provider Business Mailing Address Details
Address
950 E 3300 S
City
State
Zip
84106-2141
Phone Number
801-359-8862
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12592546-6008 (Utah)
Definition
Definition to come...
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