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Organization
NEIGHBORHOOD COUNSELING
Active
Organization
NEIGHBORHOOD COUNSELING
Active
Other names
Mindset Family Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANNABELLA Z HAGEN LCSW (CLINICAL DIRECTOR)
(801) 739-0480
Entity
Organization
Contact information
Practice address
3355 N UNIVERSITY AVE STE 100, PROVO, UT 84604-6618
(801) 427-1054
Mailing address
1699 N 1820 W, PROVO, UT 84604-7201
(801) 739-0480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
11/12/2021
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