Organization
CHRYSALIS COUNSELING CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK RAY READ LCSW (OWNER/DIRECTOR)
(801) 808-9311
Entity
Organization
Contact information
Practice address
7321 S STATE ST, SUITE B, MIDVALE, UT 84047-2055
(801) 808-9311
(801) 561-9311
Mailing address
7321 S STATE ST, SUITE B, MIDVALE, UT 84047-2055
(801) 808-9311
(801) 561-9311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
130765-3501
UT
Other
Enumeration date
04/05/2006
Last updated
08/22/2020
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