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Organization
DREAM RIVER COUNSELING LLC
Active
Organization
DREAM RIVER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STILES RANDAK LMFT (OWNER/OPERATOR)
(801) 450-0199
Entity
Organization
Contact information
Practice address
850 E 9400 S STE 103, SANDY, UT 84094-4104
(801) 450-0199
(888) 503-2513
Mailing address
PO BOX 900785, SANDY, UT 84090-0785
(801) 450-0199
(888) 503-2513
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/20/2019
Last updated
10/20/2019
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