Organization
INNOVATIVE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA BRUNISHOLZ LCSW (DIRECTOR)
(801) 347-0074
Entity
Organization
Contact information
Practice address
5872 S 900 E, STE 185, SALT LAKE CITY, UT 84121-1676
(801) 347-0074
(801) 269-1226
Mailing address
PO BOX 12391, OGDEN, UT 84412-2391
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7562489-0160
UT
Other
Enumeration date
02/03/2010
Last updated
02/17/2015
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