Organization
COPPER RIDGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICI L LOWE (BILLING MANAGER)
(208) 207-2692
Entity
Organization
Contact information
Practice address
10432 S 4000 W STE B, SOUTH JORDAN, UT 84009-5729
(661) 400-0208
Mailing address
10432 S 4000 W STE B, SOUTH JORDAN, UT 84009-5729
(661) 400-0208
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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