Organization
AUTHENTICITY UTAH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BRYAN CONDER LCMHC (FOUNDER)
(435) 720-8338
Entity
Organization
Contact information
Practice address
2265 S STATE ST APT 272, SOUTH SALT LAKE, UT 84115-1405
(435) 720-8338
Mailing address
2265 S STATE ST APT 272, SOUTH SALT LAKE, UT 84115-1405
(435) 720-8338
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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