# BUNNELL & VIERIG LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Executive Clinical Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821633843
- **Authorized official:** MCKENZIE VIERIG LMFT (CLINICAL THERAPIST)
- **Authorized official phone:** (702) 561-1603

## Contact information

- **Practice address:** 4568 S HIGHLAND DR STE 380, MILLCREEK, UT 84117-4213
- **Practice address phone:** (385) 448-0835
- **Mailing address:** 1538 E WINWARD DR, HOLLADAY, UT 84117-7536
- **Mailing address phone:** (702) 561-1603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2019
- **Last updated:** 11/13/2019