Organization
ALLY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE LEE CURZON LCSW (OWNER)
(801) 557-0958
Entity
Organization
Contact information
Practice address
1719 S MAIN ST, SALT LAKE CITY, UT 84115-1911
(801) 557-0958
Mailing address
1719 S MAIN ST, SALT LAKE CITY, UT 84115-1911
(801) 557-0958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8609120-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811347446
PERSONAL
UT
Enumeration date
04/09/2018
Last updated
04/09/2018
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