# RIDGELINE COUNSELING

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

## Provider details

- **NPI number:** 1295420503
- **Authorized official:** KENJI KIHARA HAMMON (OWNER)
- **Authorized official phone:** (541) 287-0795

## Contact information

- **Practice address:** 6778 S 700 E, MIDVALE, UT 84047-1359
- **Practice address phone:** (541) 287-0795
- **Mailing address:** 6778 S 700 E, MIDVALE, UT 84047-1359
- **Mailing address phone:** (541) 287-0795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2023
- **Last updated:** 05/15/2023