| Mountain Land Family Therapy Clinics Lc | |
|
3570 W 9000 S Suite 120 W Jordan UT 84088-8874 | |
| (801) 561-8888 | |
| Not Available |
| Full Name | Mountain Land Family Therapy Clinics Lc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3570 W 9000 S, W Jordan, Utah |
| Authorized Official Name and Position | Mark Anderson (PRESIDENT) |
| Authorized Official Contact | 8019423311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Land Family Therapy Clinics Lc Po Box 711185 Salt Lake City UT 84171 Ph: (801) 942-3311 | Mountain Land Family Therapy Clinics Lc 3570 W 9000 S Suite 120 W Jordan UT 84088-8874 Ph: (801) 561-8888 |
| NPI Number | 1558478677 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558478677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |