Organization
NEUROFEEDBACK ADDICTION RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG WARDEN (EXECUTIVE DIRECTOR)
(435) 216-7369
Entity
Organization
Contact information
Practice address
216 W SAINT GEORGE BLVD, SUITE B4, ST GEORGE, UT 84770-1308
(435) 216-7369
(877) 670-8957
Mailing address
216 W SAINT GEORGE BLVD, SUITE B4, ST GEORGE, UT 84770-1308
(435) 216-7369
(877) 670-8957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
137026-3501
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
137026-3501
UT
1041C0700X
Clinical Social Worker
137026-3501
UT
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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