| Dream River Counseling Llc | |
|
850 E 9400 S Ste 103 Sandy UT 84094-4104 | |
| (801) 450-0199 | |
| (888) 503-2513 |
| Full Name | Dream River Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 850 E 9400 S Ste 103, Sandy, Utah |
| Authorized Official Name and Position | Paul Stiles Randak (OWNER/OPERATOR) |
| Authorized Official Contact | 8014500199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream River Counseling Llc Po Box 900785 Sandy UT 84090-0785 Ph: (801) 450-0199 | Dream River Counseling Llc 850 E 9400 S Ste 103 Sandy UT 84094-4104 Ph: (801) 450-0199 |
| NPI Number | 1346883634 |
|---|---|
| Provider Enumeration Date | 10/20/2019 |
| Last Update Date | 10/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346883634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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