Organization
CHOICEPOINT THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. MICHELLE GOURLEY J.D., LCSW, MFT (OWNER)
(801) 983-5700
Entity
Organization
Contact information
Practice address
1390 S 1100 E, STE 203, SALT LAKE CITY, UT 84105-2461
(801) 983-5700
Mailing address
1390 S 1100 E, STE 203, SALT LAKE CITY, UT 84105-2461
(801) 983-5700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
12126
UT
Other
Enumeration date
04/18/2007
Last updated
04/16/2013
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