Organization
SUNDANCE COUNSELING LLC
Active
Other names
Sundance Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA JEAN KILPATRICK (SOLE PROPREITOR)
(435) 649-3617
Entity
Organization
Contact information
Practice address
700 BITNER RD STE 105, PARK CITY, UT 84098-5489
(435) 649-3617
(435) 649-9687
Mailing address
700 BITNER RD STE 105, PO BOX 980901, PARK CITY, UT 84098-5489
(435) 649-3617
(435) 649-9687
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8106626-3501
UT
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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