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Organization
AMETHYST CENTER FOR HEALING
Active
Organization
AMETHYST CENTER FOR HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CLAIRE FULMER LPC (CO-FOUNDER/CO-DIRECTOR)
(435) 640-7466
Entity
Organization
Contact information
Practice address
124 S 400 E STE 300, SALT LAKE CITY, UT 84111-5307
(801) 467-2863
Mailing address
PO BOX 526391, SALT LAKE CITY, UT 84152-6391
(801) 467-2863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/02/2015
Last updated
07/08/2021
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