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Organization

THE COUNSELING CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL JOSEPH PETERSON MSW, LCSW (CEO)
(801) 298-2000
Entity
Organization

Contact information

Practice address
386 N MAIN ST, CENTERVILLE, UT 84014-1819
(801) 298-2000
(801) 951-1490
Mailing address
123 W 1550 N, BOUNTIFUL, UT 84010-5959
(801) 298-2000
(801) 951-1490

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5388245-3501
UT

Other

Enumeration date
08/21/2012
Last updated
08/21/2012
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