Organization
COTTONWOOD PROFESSIONAL COACHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN B WINKWORTH III CMHC (OWNER)
(801) 516-9123
Entity
Organization
Contact information
Practice address
177 E 900 S, SALT LAKE CITY, UT 84111-4251
(855) 489-6176
Mailing address
3620 S CHRISTINE ST, MILLCREEK, UT 84106-2038
(801) 516-9123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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