| Charles L Diviney Iii Mc Lpc Ncc | |
|
352 So Denver St. #215 Slc UT 84110-3872 | |
| (801) 521-4227 | |
| (801) 359-0777 |
| Full Name | Charles L Diviney Iii Mc Lpc Ncc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 352 So Denver St., Slc, Utah |
| Authorized Official Name and Position | Charles L Diviney Iii Mc Lcmhc Ncc, Phd (OWNER/THERAPIST) |
| Authorized Official Contact | 8015214227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L Diviney Iii Mc Lpc Ncc Po Box 3872 Slc UT 84110-3872 Ph: (801) 521-4227 | Charles L Diviney Iii Mc Lpc Ncc 352 So Denver St. #215 Slc UT 84110-3872 Ph: (801) 521-4227 |
| NPI Number | 1235447772 |
|---|---|
| Provider Enumeration Date | 09/17/2010 |
| Last Update Date | 11/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235447772 | NPI | - | NPPES |
| 340426600001001 | Other | UT | BCBS UT |
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