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Individual

MR. PHILLIP BEEHLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACMHC, SUDC

Contact information

Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
1587 S 2050 E, SPANISH FORK, UT 84660-8430
(801) 798-2731

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5883071-6006
UT
101YM0800X
Mental Health Counselor
Primary
5883071-6004
UT

Other

Enumeration date
02/15/2013
Last updated
06/04/2020
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