Organization
CITY CENTER PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINNA LEE PHD (DIRECTOR)
(385) 831-0200
Entity
Organization
Contact information
Practice address
175 S MAIN ST STE 840, SALT LAKE CITY, UT 84111-1924
(385) 831-0200
Mailing address
175 S MAIN ST STE 840, SALT LAKE CITY, UT 84111-1924
(385) 831-0200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
03/08/2021
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