Organization
CENTRAL UTAH COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN REESE (BILLING)
(435) 283-8400
Entity
Organization
Contact information
Practice address
90 N MAIN ST, FILLMORE, UT 84631-4506
(435) 743-5121
(435) 743-4075
Mailing address
152 N 400 W, EPHRAIM, UT 84627-5549
(435) 283-8400
(463) 283-8401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639185424
—
UT
Enumeration date
07/15/2016
Last updated
07/15/2016
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