| Agile Counseling | |
|
45 W 9000 S Ste 1 Sandy UT 84070-2047 | |
| (801) 597-9558 | |
| Not Available |
| Full Name | Agile Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 45 W 9000 S Ste 1, Sandy, Utah |
| Authorized Official Name and Position | Candice Gonzalez (LCSW) |
| Authorized Official Contact | 8015979558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agile Counseling 45 W 9000 S Ste 1 Sandy UT 84070-2047 Ph: (801) 597-9558 | Agile Counseling 45 W 9000 S Ste 1 Sandy UT 84070-2047 Ph: (801) 597-9558 |
| NPI Number | 1376050237 |
|---|---|
| Provider Enumeration Date | 01/01/2018 |
| Last Update Date | 02/20/2020 |
| Certification Date | 02/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376050237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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