Organization
HERITAGE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LYNN NEWBERRY LCSW (OWNER)
(801) 525-6975
Entity
Organization
Contact information
Practice address
1747 HERITAGE LN STE B103, SYRACUSE, UT 84075-8546
(801) 525-6975
(801) 525-6988
Mailing address
1747 HERITAGE LN STE B103, SYRACUSE, UT 84075-8546
(801) 525-6975
(801) 525-6988
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
6810992-0162
UT
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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