Organization
EMBRACE CLINICAL SERVICES AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA DA COSTA LCSW (OWNER, THERAPIST)
(801) 244-7397
Entity
Organization
Contact information
Practice address
563 W 500 S STE 415, BOUNTIFUL, UT 84010-8295
(385) 313-1670
Mailing address
563 W 500 S STE 415, BOUNTIFUL, UT 84010-8295
(385) 313-1670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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