Most Relevant Information
Provider Data
| NPI Number: | 1003238783 |
| Provider Name: | CLARISSA WEISS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/14/2014 |
| Last Updated: | 01/14/2014 |
Provider Practice Location
5965 S 900 E
SALT LAKE CITY
UT
841211720
Practice Location Phone/Fax
| Phone: | 8012637100 |
| Fax: |
Provider Mailing Location
5965 S 900 E
SALT LAKE CITY
UT
841211720
Provider Mailing Phone/Fax
| Phone: | 8012637100 |
| Fax: |