Organization
BRIGHT CHANGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE CHACON LCSW (OWNDER)
(385) 269-0727
Entity
Organization
Contact information
Practice address
931 INDUSTRIAL PARK RD STE 20, OREM, UT 84057-2803
(385) 269-0727
Mailing address
931 INDUSTRIAL PARK RD STE 20, OREM, UT 84057-2803
(385) 269-0727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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