Organization
MAX AH QUIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX AH QUIN C.M.H.C. (MANAGER)
(801) 830-2889
Entity
Organization
Contact information
Practice address
3507 N UNIVERSITY AVE, BUILDING 6, SUITE 350, PROVO, UT 84604-4478
(801) 830-2889
Mailing address
511 W 630 S, OREM, UT 84058-6131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5847195-6004
UT
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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