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Organization
SILVERADO COUNSELING SERVICES, LLC
Active
Organization
SILVERADO COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A WEISBENDER LCSW (OWNER/THERAPIST)
(801) 983-5540
Entity
Organization
Contact information
Practice address
3195 S MAIN ST STE 180, SOUTH SALT LAKE, UT 84115-3790
(801) 983-5540
(801) 983-5542
Mailing address
PO BOX 824, DRAPER, UT 84020-0801
(801) 983-5540
(801) 983-5542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
777003861000
—
UT
05
—
788007788802
—
UT
Enumeration date
03/24/2006
Last updated
08/04/2023
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