Individual
MR. GEORGE J LIMBERAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
1399 S 700 E STE 12E, SALT LAKE CITY, UT 84105-2149
(801) 487-4298
(801) 606-7873
Mailing address
PO BOX 526265, SALT LAKE CITY, UT 84152-6265
(801) 487-4298
(801) 606-7873
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4995449-6004
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
4995449-6004
UT
101YM0800X
Mental Health Counselor
Primary
4995449-6004
UT
101YP2500X
Professional Counselor
4995449-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113847A
DEPT ADMINISTRATIVE SERV
UT
01
—
4995449-6004
STATE LIICENSE
UT
Enumeration date
03/02/2006
Last updated
08/22/2019
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