Organization
MOENKOPI COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN RICHARDS LCSW (OWNER)
(435) 817-9780
Entity
Organization
Contact information
Practice address
230 N 1680 E STE H2, SAINT GEORGE, UT 84790-2585
(435) 773-8909
(435) 673-5710
Mailing address
2177 ALISON ROW, SAINT GEORGE, UT 84790-8306
(435) 817-9780
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
11/01/2018
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