Organization
BEAR CREEK COUNSELING,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA COX CMHC (OWNER)
(801) 834-3276
Entity
Organization
Contact information
Practice address
1227 W 9000 S STE H, WEST JORDAN, UT 84088-9001
(385) 274-7119
(385) 257-8880
Mailing address
1227 W 9000 S STE H, WEST JORDAN, UT 84088-9001
(385) 274-7119
(385) 257-8880
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14005458
—
UT
Enumeration date
10/18/2018
Last updated
08/29/2019
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