Organization
LATTER DAY COUNSELING SERVICES, LLC
Active
Other names
Latter Day Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAINE JAY SMITH (SOLE MBR)
(801) 312-0312
Entity
Organization
Contact information
Practice address
1438 N HIGHWAY 89, SUITE 130, FARMINGTON, UT 84025-2737
(801) 312-0312
Mailing address
1324 S 175 E, KAYSVILLE, UT 84037-3702
(801) 312-0312
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/09/2011
Last updated
12/10/2011
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