| Adolescence To Adulthood Counseling Llc | |
|
640 N Main St Ste 1474 North Salt Lake UT 84054-2146 | |
| (801) 891-0400 | |
| (801) 298-0846 |
| Full Name | Adolescence To Adulthood Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 640 N Main St Ste 1474, North Salt Lake, Utah |
| Authorized Official Name and Position | Kenneth L Hull (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8018910400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescence To Adulthood Counseling Llc Po Box 540724 North Salt Lake UT 84054-0724 Ph: (801) 891-0400 | Adolescence To Adulthood Counseling Llc 640 N Main St Ste 1474 North Salt Lake UT 84054-2146 Ph: (801) 891-0400 |
| NPI Number | 1306240916 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 10/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306240916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 16382 (Utah) | Primary |
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