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Organization

EVNSQ, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIANNA JONES-WHELAN (COO)
(801) 244-8238
Entity
Organization

Contact information

Practice address
5170 S HIGHLAND DR, HOLLADAY, UT 84117-7048
(801) 669-3967
Mailing address
5170 S HIGHLAND DR, HOLLADAY, UT 84117-7048
(801) 669-3967

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
72573
STATE LICENSE NUMBER
UT
Enumeration date
04/06/2019
Last updated
12/07/2022
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