Organization
DOUGLAS WENDT COUNSELING LLC
Active
Other names
Arise Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER MOFFAT CSW (ASSOCIATE)
(442) 207-8625
Entity
Organization
Contact information
Practice address
1869 N 1120 W, PROVO, UT 84604-1180
(385) 273-7250
Mailing address
1869 N 1120 W, PROVO, UT 84604-1180
(385) 273-7250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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