Organization
INTERMOUNTAIN CENTER FOR COGNITIVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA CASTLETON LCSW (CEO)
(801) 268-2887
Entity
Organization
Contact information
Practice address
111 E 5600 S, SUITE 318, MURRAY, UT 84107-6174
(801) 268-2887
(801) 268-4295
Mailing address
111 E 5600 S, SUITE 318, MURRAY, UT 84107-6174
(801) 268-2887
(801) 268-4295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12368
UT
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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