| Courageous Corner | |
|
10929 S Redwood Rd Ste 213 South Jordan UT 84095-8204 | |
| (801) 210-9993 | |
| Not Available |
| Full Name | Courageous Corner |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10929 S Redwood Rd Ste 213, South Jordan, Utah |
| Authorized Official Name and Position | Andrea Moore (OWNER, LCSW) |
| Authorized Official Contact | 8012109993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courageous Corner 10929 S Redwood Rd Ste 213 South Jordan UT 84095-8204 Ph: (801) 210-9993 | Courageous Corner 10929 S Redwood Rd Ste 213 South Jordan UT 84095-8204 Ph: (801) 210-9993 |
| NPI Number | 1740884642 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740884642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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