CHARLIZE BRIELLE WILSON

SALT LAKE CITY, UT
NPI1134798549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  14239643-6009)
Enumeration Date2021-06-21
Last Update Date2026-07-27
Business Address
CHARLIZE BRIELLE WILSON
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
Mailing Address
CHARLIZE BRIELLE WILSON
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 385-200-0110