Organization
OAK TREE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S BAIN LCSW (OWNER/THERAPIST)
(801) 707-4150
Entity
Organization
Contact information
Practice address
2319 S FOOTHILL DR, SUITE 180, SALT LAKE CITY, UT 84109-1489
(801) 707-4150
Mailing address
7771 CEDAR WAY, PARK CITY, UT 84098-5185
(801) 707-4150
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6628490-3501
UT
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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