# PEBBLE CREEK COUNSELING CENTER

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

## Provider details

- **NPI number:** 1407248222
- **Authorized official:** MRS. MICHELLE MAIN ACMHC (OWNER)
- **Authorized official phone:** (435) 249-0321

## Contact information

- **Practice address:** 494 E 2400 N STE B, TOOELE, UT 84074
- **Practice address phone:** (435) 249-0321
- **Practice address fax:** (435) 249-0360
- **Mailing address:** 494 E 2400 N STE B, TOOELE, UT 84074
- **Mailing address phone:** (435) 249-0321
- **Mailing address fax:** (435) 249-0360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 327705-6009 | UT | Yes |

## Other

- **Enumeration date:** 03/03/2015
- **Last updated:** 03/03/2015