| Counseling Center Llc | |
|
1199 S Main St Suite 105 Centerville UT 84014-2267 | |
| (801) 907-0462 | |
| (801) 951-1490 |
| Full Name | Counseling Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1199 S Main St, Centerville, Utah |
| Authorized Official Name and Position | Paul Joseph Peterson (DIRECTOR) |
| Authorized Official Contact | 8019070462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Center Llc 123 W 1550 N Bountiful UT 84010-5959 Ph: (801) 907-0462 | Counseling Center Llc 1199 S Main St Suite 105 Centerville UT 84014-2267 Ph: (801) 907-0462 |
| NPI Number | 1912233677 |
|---|---|
| Provider Enumeration Date | 10/29/2009 |
| Last Update Date | 12/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912233677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2645 (Utah) | Primary |
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