Packer, Celisa

Packer, Celisa is an individual health care provider with primary practice located at 2020 E Lake St , Salt Lake City UT 84105. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Packer, Celisa can be contacted via phone (801) 487-7778.

Contact Information

Primary practice address
2020 E Lake St Salt Lake City UT 84105
Phone: (801) 487-7778
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9046926-3502 Utah
Behavioral Health & Social Service Providers / School 1041S0200X 689820 Utah

Profile Details

NPI number 1083089643
LBN Legal business name Packer, Celisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2015
Last updated Dec 8th, 2015 - about 11 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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