Affinity Guidance Services, Inc | |
1971 N State St Provo UT 84604-1012 | |
(855) 200-2471 | |
(435) 578-0700 |
Full Name | Affinity Guidance Services, Inc |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1971 N State St, Provo, Utah |
Authorized Official Name and Position | Bradley Jackson Neufeld (PRESIDENT) |
Authorized Official Contact | 8552002471 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Affinity Guidance Services, Inc 1971 N State St Provo UT 84604-1012 Ph: (855) 200-2471 | Affinity Guidance Services, Inc 1971 N State St Provo UT 84604-1012 Ph: (855) 200-2471 |
NPI Number | 1659760411 |
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Provider Enumeration Date | 01/16/2015 |
Last Update Date | 11/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659760411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 10870 (Utah) | Primary |
101YM0800X | Counselor - Mental Health | 10870 (Utah) | Secondary |
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