# REDWOOD THERAPY

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

## Provider details

- **NPI number:** 1811249774
- **Authorized official:** BRIAN MURDOCK LPC (CLINICAL DIRECTOR)
- **Authorized official phone:** (801) 878-4220

## Contact information

- **Practice address:** 8541 S REDWOOD RD STE C, WEST JORDAN, UT 84088-9327
- **Practice address phone:** (801) 878-4220
- **Practice address fax:** (801) 878-9846
- **Mailing address:** PO BOX 64, WEST JORDAN, UT 84084-0064
- **Mailing address phone:** (801) 878-4220
- **Mailing address fax:** (801) 878-9846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2012
- **Last updated:** 10/02/2012