Organization
GOLDEN STEPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLDEN D GLENN (OWNER)
(435) 774-6533
Entity
Organization
Contact information
Practice address
2600 N MAIN ST # 200, NORTH LOGAN, UT 84341-5740
(435) 774-6533
Mailing address
2600 N MAIN ST # 200, NORTH LOGAN, UT 84341-5740
(435) 774-6533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/12/2019
Last updated
11/18/2019
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