| 180 Counseling Pllc | |
|
4455 S 700 E Ste 201 Millcreek UT 84107-3076 | |
| (801) 319-3666 | |
| Not Available |
| Full Name | 180 Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4455 S 700 E Ste 201, Millcreek, Utah |
| Authorized Official Name and Position | Brandon Stewart Bunker (OWNER) |
| Authorized Official Contact | 8016553442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 180 Counseling Pllc 3855 S 2520 W West Valley City UT 84119-4621 Ph: (801) 655-3442 | 180 Counseling Pllc 4455 S 700 E Ste 201 Millcreek UT 84107-3076 Ph: (801) 319-3666 |
| NPI Number | 1760185144 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760185144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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