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Organization
MOONBRIDGE THERAPY LLC
Active
Organization
MOONBRIDGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KAARE KLITGAARD LCMHC (OWNER)
(801) 251-6431
Entity
Organization
Contact information
Practice address
503 W 2600 S SUITE 200, A, BOUNTIFUL, UT 84010
(801) 251-6431
Mailing address
PO BOX 540032, NORTH SALT LAKE, UT 84054-0032
(801) 251-6431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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