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Organization

RESTORE COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN VANATTA CMHC (REGISTERED AGENT)
(385) 259-2269
Entity
Organization

Contact information

Practice address
415 MEDICAL DR STE B101, BOUNTIFUL, UT 84010-4989
(385) 259-2269
Mailing address
858 N LAFAYETTE DR, SALT LAKE CITY, UT 84116-2148
(385) 259-2269

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
12/08/2020
Last updated
12/08/2020
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