Organization
GROUNDED HEALING THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELIN HAHN LCSW (OWNER)
(505) 633-5470
Entity
Organization
Contact information
Practice address
334 MIVIDA DR, MOAB, UT 84532-2149
(505) 633-5470
Mailing address
375 S MAIN ST # 322, MOAB, UT 84532-2557
(505) 633-5470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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