| Canyon Counseling Group | |
|
1433 N 1075 W Suite 120 Farmington UT 84025-2746 | |
| (801) 871-5715 | |
| (801) 447-9240 |
| Full Name | Canyon Counseling Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1433 N 1075 W, Farmington, Utah |
| Authorized Official Name and Position | F Ann Nielsen (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8018715715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Counseling Group 1433 N 1075 W Suite 120 Farmington UT 84025-2746 Ph: (801) 871-5715 | Canyon Counseling Group 1433 N 1075 W Suite 120 Farmington UT 84025-2746 Ph: (801) 871-5715 |
| NPI Number | 1750682688 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750682688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6268337-3501 (Utah) | Primary |
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