# CANYON BREEZE COUNSELING

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

## Provider details

- **NPI number:** 1649016916
- **Authorized official:** REBECCA PROFAIZER (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (801) 389-7169

## Contact information

- **Practice address:** 270 N MAIN ST, LOGAN, UT 84321-3915
- **Practice address phone:** (801) 389-7169
- **Mailing address:** PO BOX 274, LOGAN, UT 84323-0274
- **Mailing address phone:** (801) 389-7169
- **Mailing address fax:** (435) 799-3885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2024
- **Last updated:** 08/07/2026
