Organization
INTERMOUNTAIN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BAILEY LCMHC (PRESIDENT)
(435) 262-0891
Entity
Organization
Contact information
Practice address
35 N MAIN STREET, SUITE 200 B, SPRING CITY, UT 84662
(435) 200-3182
Mailing address
PO BOX 334, MORONI, UT 84646-0334
(435) 262-0891
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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