# BRIDGES FORENSIC COUNSELING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013218593
- **Authorized official:** MR. LEE L PERRY LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (801) 217-3523

## Contact information

- **Practice address:** 189 S STATE ST, SUITE 180, CLEARFIELD, UT 84015-1061
- **Practice address phone:** (801) 217-3523
- **Practice address fax:** (801) 217-3723
- **Mailing address:** 189 S STATE ST, SUITE 180, CLEARFIELD, UT 84015-1061
- **Mailing address phone:** (801) 217-3523
- **Mailing address fax:** (801) 217-3723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 17035 | UT | Yes |

## Other

- **Enumeration date:** 11/15/2010
- **Last updated:** 12/01/2010