Organization
BLUE CHIP COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMANDRA EVETTE FAWSON LMFT (MANAGING MEMBER)
(435) 669-7419
Entity
Organization
Contact information
Practice address
75 S 100 E STE 2D, ST GEORGE, UT 84770-3469
(435) 553-8908
(435) 921-4770
Mailing address
173 N 250 W, LA VERKIN, UT 84745-5236
(435) 669-7419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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