| Bridges Forensic Counseling Services Llc | |
|
189 S State St Suite 180 Clearfield UT 84015-1061 | |
| (801) 217-3523 | |
| (801) 217-3723 |
| Full Name | Bridges Forensic Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 189 S State St, Clearfield, Utah |
| Authorized Official Name and Position | Lee L Perry (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8012173523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Forensic Counseling Services Llc 189 S State St Suite 180 Clearfield UT 84015-1061 Ph: (801) 217-3523 | Bridges Forensic Counseling Services Llc 189 S State St Suite 180 Clearfield UT 84015-1061 Ph: (801) 217-3523 |
| NPI Number | 1013218593 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 12/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013218593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17035 (Utah) | Primary |
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