Organization
ADOLESCENCE TO ADULTHOOD COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L HULL CMHC (CLINICAL DIRECTOR)
(801) 891-0400
Entity
Organization
Contact information
Practice address
640 N MAIN ST STE 1474, NORTH SALT LAKE, UT 84054-2146
(801) 891-0400
(801) 298-0846
Mailing address
PO BOX 540724, NORTH SALT LAKE, UT 84054-0724
(801) 891-0400
(801) 298-0846
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
16382
UT
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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