Organization
DYNAMIC COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA JOHNSTON CMHC (OWNER/CLINICIAN)
(801) 413-3481
Entity
Organization
Contact information
Practice address
4525 S 2300 E STE 102, HOLLADAY, UT 84117-4682
(801) 413-3481
Mailing address
4525 S 2300 E STE 102, HOLLADAY, UT 84117-4682
(801) 413-3481
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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