Organization
ADDO RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB GENE CHRISMAN (CHIEF OPERATIONS OFFICER)
(801) 369-6807
Entity
Organization
Contact information
Practice address
199 N 290 W, SUITE 150, LINDON, UT 84042-1810
(801) 369-6807
Mailing address
199 N 290 W, SUITE 150, LINDON, UT 84042-1810
(801) 369-6807
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
501416-3902
UT
Other
Enumeration date
01/26/2013
Last updated
01/26/2013
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