Organization
PROVO COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORY B DENNIS PHD LCSW (OWNER/OPERATOR)
(801) 472-7134
Entity
Organization
Contact information
Practice address
3325 N UNIVERSITY AVE STE 300, PROVO, UT 84604-7412
(801) 472-7134
Mailing address
3325 N UNIVERSITY AVE STE 300, PROVO, UT 84604-7412
(801) 472-7134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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