Organization
LIFE TRANSITION COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA JERILYN YOUNG M.S.W., L.C.S.W (CLINICAL THERIPIST)
(801) 608-9325
Entity
Organization
Contact information
Practice address
2317 N HILL FIELD RD, 103, LAYTON, UT 84041-4781
(801) 608-9325
Mailing address
634 E CLEARWATER DR, LAYTON, UT 84041-4284
(801) 608-9325
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
179401-3501
UT
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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