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Organization
BLUE THEORY COUNSELING LLC
Active
Organization
BLUE THEORY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ANDREASON (PROVIDER)
(801) 984-6728
Entity
Organization
Contact information
Practice address
10808 S RIVER FRONT PKWY STE 308, SOUTH JORDAN, UT 84095-5761
(801) 984-6728
(801) 984-4715
Mailing address
10808 S RIVER FRONT PKWY STE 308, SOUTH JORDAN, UT 84095-5761
(801) 984-6728
(801) 984-4715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
03/10/2023
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