Organization
CHILD AND FAMILY EMPOWERMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BRADLEY M.S.; ACMHC (ASSOC MENTAL HEALTH COUNSELOR)
(801) 473-7405
Entity
Organization
Contact information
Practice address
1578 W 1700 S STE 200, SALT LAKE CITY, UT 84104-3461
(801) 972-2711
Mailing address
1578 W 1700 S STE 200, SALT LAKE CITY, UT 84104-3461
(801) 972-2711
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
90438056009
UT
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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