Organization
GOAT PATH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE RODRIGUEZ-MARCH CMHC (OWNER / CLINICIAN)
(801) 414-8144
Entity
Organization
Contact information
Practice address
663 W 100 S, SUITE B7, SALT LAKE CITY, UT 84104-1002
(801) 416-3123
Mailing address
663 W 100 S, SUITE B7, SALT LAKE CITY, UT 84104-1002
(801) 416-3123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
49173766004
UT
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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