Organization
BANYAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAREN KINLACHEENY (OWNER)
(801) 382-8008
Entity
Organization
Contact information
Practice address
3210 N CANYON RD STE 206, PROVO, UT 84604-6508
(801) 382-8008
Mailing address
3210 N CANYON RD STE 206, PROVO, UT 84604-6508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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