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Organization
SOLACE EMOTIONAL HEALTH
Active
Organization
SOLACE EMOTIONAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY REDD PHD (OWNER)
(801) 785-8885
Entity
Organization
Contact information
Practice address
1364 W STATE RD, #204, PLEASANT GROVE, UT 84062-4109
(801) 785-8885
Mailing address
1364 W STATE RD, #204, PLEASANT GROVE, UT 84062-4109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
55044786004
UT
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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