Organization
RENEW COUNSELING LLC
Active
Other names
Renew
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH MARIE WAYMAN CMHC (CLINICAL DIRECTOR)
(801) 971-2075
Entity
Organization
Contact information
Practice address
63 E 11400 S, #103, SANDY, UT 84070-6705
(801) 971-2075
(801) 943-0599
Mailing address
63 E 11400 S, #103, SANDY, UT 84070-6705
(801) 971-2075
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4780650-6004
UT
Other
Enumeration date
03/22/2013
Last updated
08/08/2014
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