Organization
RANDOM ANGST COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BRADY (OWNER)
(801) 503-6989
Entity
Organization
Contact information
Practice address
75 E FORT UNION BLVD STE C151, MIDVALE, UT 84047-5517
(801) 503-6989
Mailing address
75 E FORT UNION BLVD STE C151, MIDVALE, UT 84047-5517
(801) 503-6989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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