| Intimate Relationships | |
|
520 E 770 N Orem UT 84097-4101 | |
| (801) 850-7063 | |
| Not Available |
| Full Name | Intimate Relationships |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 520 E 770 N, Orem, Utah |
| Authorized Official Name and Position | Tiffany Russell (OWNER) |
| Authorized Official Contact | 8018507063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intimate Relationships 520 E 770 N Orem UT 84097-4101 Ph: (801) 850-7063 | Intimate Relationships 520 E 770 N Orem UT 84097-4101 Ph: (801) 850-7063 |
| NPI Number | 1831979988 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831979988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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