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616 S River Rd #220 St George UT 84790-2104 | |
| (435) 359-9042 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 616 S River Rd, St George, Utah |
| Authorized Official Name and Position | Bruce Craig Solomon (MANAGING PARTNER) |
| Authorized Official Contact | 8013599042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2298 E 200 S St George UT 84790-1603 Ph: (435) 359-9043 | 616 S River Rd #220 St George UT 84790-2104 Ph: (435) 359-9042 |
| NPI Number | 1609328525 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609328525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 8202232-3501 (Utah) | Primary |
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