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Organization
AGILE COUNSELING
Active
Organization
AGILE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE GONZALEZ (LCSW)
(801) 597-9558
Entity
Organization
Contact information
Practice address
45 W 9000 S STE 1, SANDY, UT 84070-2047
(801) 597-9558
Mailing address
45 W 9000 S STE 1, SANDY, UT 84070-2047
(801) 597-9558
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/01/2018
Last updated
02/20/2020
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