Integrative Counseling, Llc | |
510 E Sego Lily Dr Sandy UT 84070-3546 | |
(801) 793-0620 | |
(844) 440-5778 |
Full Name | Integrative Counseling, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 510 E Sego Lily Dr, Sandy, Utah |
Authorized Official Name and Position | Shelley Folsom Mangum (OWNER) |
Authorized Official Contact | 8017930620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Integrative Counseling, Llc 510 E Sego Lily Dr Sandy UT 84070-3546 Ph: (801) 793-0620 | Integrative Counseling, Llc 510 E Sego Lily Dr Sandy UT 84070-3546 Ph: (801) 793-0620 |
NPI Number | 1508486473 |
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Provider Enumeration Date | 04/21/2020 |
Last Update Date | 04/21/2020 |
Certification Date | 04/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508486473 | NPI | - | NPPES |
5828209-6004 | Other | UT | LCMHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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