Organization
COMMUNITY COUNSELING CENTER OF SOUTHERN UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS DOSS LCSW (REGISTERED AGENT)
(435) 669-8970
Entity
Organization
Contact information
Practice address
168 N 100 E STE 204, ST GEORGE, UT 84770-2893
(435) 674-9449
Mailing address
PO BOX 3001, CEDAR CITY, UT 84721-3001
(435) 652-4142
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D7215
—
UT
Enumeration date
03/26/2007
Last updated
07/24/2008
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