Organization
THE COUNSELING CENTER FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAR POE ROBINSON (CREDENTIALING SPECIALIST)
(415) 912-0987
Entity
Organization
Contact information
Practice address
12884 S FRONTRUNNER BLVD STE 140, DRAPER, UT 84020-5488
(336) 423-7697
Mailing address
4192 W MCKELLEN DR UNIT B2, HERRIMAN, UT 84096-2202
(336) 423-7697
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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