# A COURAGEOUS LIFE COUNSELING, PLLC

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

## Provider details

- **NPI number:** 1639537632
- **Authorized official:** JULIA SICKLES L.C.S.W. (OWNER/THERAPIST)
- **Authorized official phone:** (435) 248-2325

## Contact information

- **Practice address:** 3409 W 12600 S STE 230, RIVERTON, UT 84065-7270
- **Practice address phone:** (435) 248-2325
- **Mailing address:** 3409 W 12600 S STE 230, RIVERTON, UT 84065-7270
- **Mailing address phone:** (435) 248-2325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 9452890-3501 | UT | Yes |

## Other

- **Enumeration date:** 02/04/2016
- **Last updated:** 02/04/2016