| Karl E Seashore, Lpc, Pc | |
|
4190 Highland Dr Suite 211 Salt Lake City UT 84124-2600 | |
| (801) 272-0613 | |
| (801) 272-0678 |
| Full Name | Karl E Seashore, Lpc, Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4190 Highland Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Karl E Seashore (PRESIDENT) |
| Authorized Official Contact | 8012720613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Karl E Seashore, Lpc, Pc 4190 Highland Dr Suite 211 Salt Lake City UT 84124-2600 Ph: (801) 272-0613 | Karl E Seashore, Lpc, Pc 4190 Highland Dr Suite 211 Salt Lake City UT 84124-2600 Ph: (801) 272-0613 |
| NPI Number | 1649247883 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649247883 | NPI | - | NPPES |
| 66020 | Other | UT | UNI BEHAVIORAL HEALTH NET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 362944-6004 (Utah) | Primary |
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