Organization
BREAKAWAY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MATSON LCSW (PRESIDENT)
(801) 633-2507
Entity
Organization
Contact information
Practice address
489 W SOUTH JORDAN PKWY STE 256, SOUTH JORDAN, UT 84095-3979
(801) 871-5799
Mailing address
11153 S DEVON VIEW DR, SOUTH JORDAN, UT 84095-4142
(801) 633-2507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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