Organization
PEBBLE CREEK COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE MAIN ACMHC (OWNER)
(435) 249-0321
Entity
Organization
Contact information
Practice address
494 E 2400 N STE B, TOOELE, UT 84074
(435) 249-0321
(435) 249-0360
Mailing address
494 E 2400 N STE B, TOOELE, UT 84074
(435) 249-0321
(435) 249-0360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
327705-6009
UT
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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