Organization
MIND YOUR NATURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE M. SPEICHER CMHC (PRESIDENT)
(435) 659-4508
Entity
Organization
Contact information
Practice address
1700 PARK AVE STE 2065, PARK CITY, UT 84060-5162
(435) 659-4508
(435) 214-2529
Mailing address
PO BOX 981145, 1700 PARK AVE #2065, PARK CITY, UT 84098-1145
(435) 659-4508
(435) 214-2529
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
120742-600490
UT
101YM0800X
Mental Health Counselor
6647064-6004
UT
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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