Organization
PODERA THERAPY PLLC
Active
Other names
Podera Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN LAWS (OWNER)
(208) 244-1702
Entity
Organization
Contact information
Practice address
8176 N OCONNELL LN, EAGLE MOUNTAIN, UT 84005-5813
(385) 351-5473
Mailing address
PO BOX 174, CEDAR VALLEY, UT 84013-0174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/27/2023
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