Organization
ASCENT FAMILY THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL BURGESS LMFT (CEO)
(408) 431-4443
Entity
Organization
Contact information
Practice address
4665 MILE HIGH DR, PROVO, UT 84604-6311
(408) 431-4443
Mailing address
PO BOX 902, PROVO, UT 84603-0902
(408) 431-4443
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/01/2019
Last updated
10/10/2020
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