Organization
CHANNELING EXPANSION COUNSELING
Active
Parent organization
CHANNELING EXPANSION
Other names
Channeling Expansion
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANNELING EXPANSION
Authorized official
CAMILLE THEA MISKIN LCSW (OWNER)
(801) 436-7242
Entity
Organization
Contact information
Practice address
498 N KAYS DR STE 220, KAYSVILLE, UT 84037-4189
(801) 436-7242
Mailing address
114 W 450 S, KAYSVILLE, UT 84037-2430
(801) 436-7242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/17/2024
Last updated
08/19/2024
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