Organization
ABC-ADVANCED BEHAVIORAL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS E. GALWAY LPC (EXECUTIVE DIRECTOR)
(801) 915-1290
Entity
Organization
Contact information
Practice address
997 E 3900 S, SALT LAKE CITY, UT 84124-1108
(801) 915-1290
Mailing address
3200 S 600 E, SALT LAKE CITY, UT 84106-1218
(801) 915-1290
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
17766
UT
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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