Organization
ALTITUDE COUNSELING & CONSULTING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR IRISH (OWNER)
(435) 219-6312
Entity
Organization
Contact information
Practice address
2028 W 500 N STE B, VERNAL, UT 84078-8283
(435) 219-6312
Mailing address
2028 W 500 N STE B, VERNAL, UT 84078-8283
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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