WADE POULSEN

SALT LAKE CITY, UT
NPI1427355650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  7966792-6004)
Enumeration Date2011-02-24
Last Update Date2014-07-14
Business Address
Mr. WADE POULSEN
145 E 1300 S SUITE 501
SALT LAKE CITY, UT 84115-5482
Phone number: 385-468-3559
Mailing Address
Mr. WADE POULSEN
145 E 1300 S SUITE 501
SALT LAKE CITY, UT 84115-5482
Phone number: 385-468-3559