Organization
PROVO COUNSELING CENTER
Active
Other names
Provo Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
CORY BRAD DENNIS PHC LCSW (OWNER/OPERATOR)
(801) 472-7134
Entity
Organization
Contact information
Practice address
3325 N UNIVERSITY AVE STE 300, PROVO, UT 84604-7412
(801) 472-7134
(801) 743-7599
Mailing address
3325 N UNIVERSITY AVE STE 300, PROVO, UT 84604-7412
(801) 472-7134
(801) 743-7599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992467963
—
UT
Enumeration date
10/07/2021
Last updated
08/25/2023
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