Organization
CENTER FOR MARRIAGE PREPARATION
Active
Other names
Center for Marriage Preparation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY BODEN PHD, LMFT (EXECUTIVE DIRECTOR)
(801) 471-9146
Entity
Organization
Contact information
Practice address
3355 N UNIVERSITY AVE STE 250-D, PROVO, UT 84604-4481
(801) 471-9146
Mailing address
3355 N UNIVERSITY AVE STE 250-D, PROVO, UT 84604-4481
(801) 471-9146
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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