# LEGACY COUNSELING CENTER

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

## Provider details

- **NPI number:** 1821395633
- **Authorized official:** MR. JOHN GAWRYS JR. LPC (ADMINISTRATOR)
- **Authorized official phone:** (801) 822-4892

## Contact information

- **Practice address:** 318 RIDGE DR, ALPINE, UT 84004-2602
- **Practice address phone:** (801) 822-4892
- **Mailing address:** 318 RIDGE DR, ALPINE, UT 84004-2602
- **Mailing address phone:** (801) 822-4892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 53747966004 | UT | Yes |

## Other

- **Enumeration date:** 02/15/2011
- **Last updated:** 02/15/2011