Cottrell, Stacie Ellen

Cottrell, Stacie Ellen is an sole proprietor health care provider with primary practice located at 985 E 4500 S , Millcreek UT 84117-4153. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Nursing Service Providers / Licensed Psychiatric Technician, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cottrell, Stacie Ellen can be contacted via phone (385) 881-3398.

Contact Information

Primary practice address
985 E 4500 S Millcreek UT 84117-4153
Phone: (385) 881-3398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 10875612-3501 Utah
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10875612-3501 Utah

Profile Details

NPI number 1063853877
LBN Legal business name Cottrell, Stacie Ellen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2013
Last updated Jun 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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