| Counseling And Treatment Center Of Utah | |
|
1220 N Main St #4 Springville UT 84663-4013 | |
| (801) 804-1028 | |
| (801) 405-6753 |
| Full Name | Counseling And Treatment Center Of Utah |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1220 N Main St, Springville, Utah |
| Authorized Official Name and Position | Rick Biesinger (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8018041028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Treatment Center Of Utah 811 E 640 S Salem UT 84653-5652 Ph: (801) 804-0125 | Counseling And Treatment Center Of Utah 1220 N Main St #4 Springville UT 84663-4013 Ph: (801) 804-1028 |
| NPI Number | 1740635176 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 05/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740635176 | NPI | - | NPPES |
| 1659554566 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6331481-2501 (Utah) | Primary |
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