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Organization

LATINO BEHAVIORAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIA D MARTINEZ CSW (DEVELOPMENT DIRECTOR/THERAPIST)
(801) 935-4447
Entity
Organization

Contact information

Practice address
3471 S WEST TEMPLE, SALT LAKE CITY, UT 84115-4338
(801) 935-4447
Mailing address
3471 S WEST TEMPLE, SALT LAKE CITY, UT 84115-4338
(801) 935-4447

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
175T00000X
Peer Specialist
Primary

Other

Enumeration date
09/11/2018
Last updated
09/11/2018
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