Organization
UNA VIDA MEJOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVONNE JESSICA CAMPBELL LCSW (OWNER/THERAPIST)
(801) 879-8984
Entity
Organization
Contact information
Practice address
175 S MAIN ST STE 500, SLC, UT 84111-1927
(801) 890-4501
Mailing address
5685 S CORA WAY, TAYLORSVILLE, UT 84129-2317
(801) 879-8984
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8639940-3501
UT
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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