| Banyan Counseling | |
|
3210 N Canyon Rd Ste 206 Provo UT 84604-6508 | |
| (801) 382-8008 | |
| Not Available |
| Full Name | Banyan Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3210 N Canyon Rd Ste 206, Provo, Utah |
| Authorized Official Name and Position | Maren Kinlacheeny (OWNER) |
| Authorized Official Contact | 8013828008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banyan Counseling 3210 N Canyon Rd Ste 206 Provo UT 84604-6508 Ph: () - | Banyan Counseling 3210 N Canyon Rd Ste 206 Provo UT 84604-6508 Ph: (801) 382-8008 |
| NPI Number | 1558010900 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558010900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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