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Organization
SYCAMORE MENTAL HEALTH
Active
Organization
SYCAMORE MENTAL HEALTH
Active
Other names
Sycamore Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN C RASMUSSEN LCSW (OWNER)
(801) 588-9538
Entity
Organization
Contact information
Practice address
111 E FOREST ST STE H, BRIGHAM CITY, UT 84302-2127
(801) 588-9538
Mailing address
669 S APPALOOSA CIR, WILLARD, UT 84340-9629
(801) 588-9538
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982106852
—
UT
Enumeration date
01/03/2024
Last updated
01/03/2024
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