Organization
DAILY PRACTICE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA ELLWANGER LCSW (OWNER, THERAPIST)
(808) 779-5273
Entity
Organization
Contact information
Practice address
10808 S RIVER FRONT PKWY STE 366, SOUTH JORDAN, UT 84095-6300
(808) 779-5273
Mailing address
10808 S RIVER FRONT PKWY STE 366, SOUTH JORDAN, UT 84095-6300
(808) 779-5273
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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