Organization
CONSOLATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY DENISE GRAVETT CMHC (PRESIDENT)
(801) 669-4414
Entity
Organization
Contact information
Practice address
327 S 500 E, AMERICAN FORK, UT 84003-2525
(801) 669-4414
Mailing address
327 S 500 E, AMERICAN FORK, UT 84003-2525
(801) 669-4414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
63213036004
UT
Other
Enumeration date
07/12/2012
Last updated
08/24/2012
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