| Community Counseling Center Of Southern Utah | |
|
168 N 100 E Ste 204 St George UT 84770-2893 | |
| (435) 674-9449 | |
| Not Available |
| Full Name | Community Counseling Center Of Southern Utah |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 168 N 100 E Ste 204, St George, Utah |
| Authorized Official Name and Position | Chris Doss (REGISTERED AGENT) |
| Authorized Official Contact | 4356698970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Center Of Southern Utah Po Box 3001 Cedar City UT 84721-3001 Ph: (435) 652-4142 | Community Counseling Center Of Southern Utah 168 N 100 E Ste 204 St George UT 84770-2893 Ph: (435) 674-9449 |
| NPI Number | 1992823249 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992823249 | NPI | - | NPPES |
| D7215 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
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