Organization
KASAMA HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANI ECCLES APRN (PMHNP)
(435) 962-0130
Entity
Organization
Contact information
Practice address
1034 RSI DR UNIT 120, LOGAN, UT 84321-2203
(435) 512-7825
Mailing address
1545 E 2000 N, NORTH LOGAN, UT 84341-2163
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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