Organization
ASSESSMENT, COUNSELING, & EDUCATIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC MICHAEL PHILLIPS LCSW (ASSOCIATE DIRECTOR, THERAPIST)
(801) 265-8000
Entity
Organization
Contact information
Practice address
2970 S MAIN ST STE 200, SALT LAKE CITY, UT 84115-6034
(801) 265-8000
(801) 265-8004
Mailing address
2970 S MAIN ST STE 200, SALT LAKE CITY, UT 84115-6034
(801) 265-8000
(801) 265-8004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6613419-3501
UT
Other
Enumeration date
05/26/2011
Last updated
06/28/2011
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