Most Relevant Information
Provider Data
| NPI Number: | 1003699174 |
| Provider Name: | PATRICE MARIE WILHITE ACMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/14/2023 |
| Last Updated: | 08/14/2023 |
Provider Practice Location
204 W 2100 S APT A422
SALT LAKE CITY
UT
841151438
Practice Location Phone/Fax
| Phone: | 7575046490 |
| Fax: |
Provider Mailing Location
204 W 2100 S APT A422
SALT LAKE CITY
UT
841151438
Provider Mailing Phone/Fax
| Phone: | 7575046490 |
| Fax: |