| |
1173 So 250 West Bldg 1- Suite 208 Saint George UT 84770-8477 | |
(435) 688-1111 | |
(435) 688-8488 |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 1173 So 250 West, Saint George, Utah |
Authorized Official Name and Position | Wendy Paxman (OFFICE MANAGER) |
Authorized Official Contact | 4356881111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1173 So 250 West Bldg 1- Suite 208 Saint George UT 84770 Ph: (435) 688-1111 | 1173 So 250 West Bldg 1- Suite 208 Saint George UT 84770-8477 Ph: (435) 688-1111 |
NPI Number | 1982898094 |
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Provider Enumeration Date | 08/31/2007 |
Last Update Date | 09/27/2021 |
Certification Date | 09/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982898094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 3402193902 (Utah) | Primary |
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