# SUPPORT ONE HEALTH SERVICES

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

## Provider details

- **NPI number:** 1922643949
- **Authorized official:** CRAIG BAKER MFT (DIRECTOR)
- **Authorized official phone:** (925) 565-6414

## Contact information

- **Practice address:** 15041 S GALLANT DR, BLUFFDALE, UT 84065-4987
- **Practice address phone:** (925) 565-6414
- **Mailing address:** 15041 S GALLANT DR, BLUFFDALE, UT 84065-4987

## Taxonomy

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

## Other

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