Organization
CONNECTED CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT PEMBERTON LCMHC, LPC (OWNER)
(435) 705-3678
Entity
Organization
Contact information
Practice address
230 N 1680 E STE N, ST GEORGE, UT 84790-2579
(435) 669-8363
Mailing address
621 S COYOTE RD, APPLE VALLEY, UT 84737-4921
(435) 669-8363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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