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Organization

HOPE RECOVERY AND HEALING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACK R KETTERING LCMHC (CLINICAL DIRECTOR)
(385) 240-0321
Entity
Organization

Contact information

Practice address
575 EDGEHILL DR, PROVIDENCE, UT 84332-9446
(435) 999-3038
Mailing address
575 EDGEHILL DR, PROVIDENCE, UT 84332-9446
(435) 999-3038

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
12/14/2020
Last updated
12/14/2020
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