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Organization

SPRING CREEK WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DESIREE L PORTER CMHC (OWNER)
(801) 499-7869
Entity
Organization

Contact information

Practice address
1990 N PARK GROVE DR, WASHINGTON, UT 84780-3011
(801) 499-7869
(801) 513-2065
Mailing address
1990 N PARK GROVE DR, WASHINGTON, UT 84780-3011
(801) 499-7869

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6822650-6004
UT

Other

Enumeration date
11/13/2017
Last updated
12/17/2021
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