# KEYSTONE FAMILY COUNSELING, PLLC

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

## Provider details

- **NPI number:** 1194271601
- **Authorized official:** ROBERT CLEGG LCSW (OWNER)
- **Authorized official phone:** (801) 380-9305

## Contact information

- **Practice address:** 1172 E 100 N, SUITE 8, PAYSON, UT 84651-1667
- **Practice address phone:** (801) 380-9305
- **Mailing address:** 1172 E 100 N, SUITE 8, PAYSON, UT 84651-1667
- **Mailing address phone:** (801) 380-9305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 7442576-3501 | UT | Yes |

## Other

- **Enumeration date:** 08/25/2016
- **Last updated:** 12/08/2016