| Mens Center For Counseling And Coaching | |
|
12884 S Frontrunner Blvd Ste 140 Draper UT 84020-5488 | |
| (336) 423-7697 | |
| Not Available |
| Full Name | Mens Center For Counseling And Coaching |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12884 S Frontrunner Blvd Ste 140, Draper, Utah |
| Authorized Official Name and Position | Patrick S Ide (OWNER) |
| Authorized Official Contact | 3364237697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mens Center For Counseling And Coaching 12884 S Frontrunner Blvd Ste 140 Draper UT 84020-5488 Ph: (336) 423-7697 | Mens Center For Counseling And Coaching 12884 S Frontrunner Blvd Ste 140 Draper UT 84020-5488 Ph: (336) 423-7697 |
| NPI Number | 1306592779 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306592779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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