Organization
BINGHAM CREEK COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY CHRISTENSEN LCSW (PRESIDENT)
(801) 419-3192
Entity
Organization
Contact information
Practice address
9067 S 1300 W STE 204, WEST JORDAN, UT 84088-5582
(801) 748-2192
Mailing address
5817 W SUNNY STONE CIR, SOUTH JORDAN, UT 84095-8077
(801) 419-3192
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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