Organization
CHANGES INDIVIDUAL & RELATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL HARKER (OWNER)
(801) 543-2120
Entity
Organization
Contact information
Practice address
836 S MAIN ST STE 210, LAYTON, UT 84041-7118
(801) 543-2120
Mailing address
836 S MAIN ST STE 210, LAYTON, UT 84041-7118
(801) 543-2120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3176863978
UT
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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