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Organization
LATTER DAY COUNSELING SERVICES, LLC
Active
Organization
LATTER DAY COUNSELING SERVICES, LLC
Active
Other names
Latter Day Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAINE JAY SMITH (SOLE MBR)
(801) 312-0312
Entity
Organization
Contact information
Practice address
1438 N HIGHWAY 89, SUITE 130, FARMINGTON, UT 84025-2737
(801) 312-0312
Mailing address
1324 S 175 E, KAYSVILLE, UT 84037-3702
(801) 312-0312
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/09/2011
Last updated
12/10/2011
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