Organization
KODIAK COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES ALDRICH PHD, LCSW (OWNER)
(435) 962-0705
Entity
Organization
Contact information
Practice address
185 N VERNAL AVE STE 1, VERNAL, UT 84078-2100
(435) 200-5685
Mailing address
185 N VERNAL AVE STE 1, VERNAL, UT 84078-2100
(435) 962-0705
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
10/08/2024
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