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Organization
SUNDANCE CANYON THERAPY, COACHING, AND CONSULTING
Active
Organization
SUNDANCE CANYON THERAPY, COACHING, AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY ERICKSON LCMHC (THERAPIST)
(801) 678-4198
Entity
Organization
Contact information
Practice address
180 N UNIVERSITY AVE STE 270, PROVO, UT 84601-5648
(801) 678-4198
Mailing address
4832 W FIRMONT DR, SOUTH JORDAN, UT 84009-8291
(801) 678-4198
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
10471569-0160
UT
Other
Enumeration date
08/13/2017
Last updated
08/13/2017
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