Organization
GREEN CANYON COUNSELING
Active
Other names
Samuel Pond
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL POND LCSW (OWNER)
(435) 764-6312
Entity
Organization
Contact information
Practice address
2027 N 200 E, NORTH LOGAN, UT 84341-5505
(435) 764-6312
Mailing address
2027 N 200 E, NORTH LOGAN, UT 84341-5505
(435) 764-6312
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
11/17/2022
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