| Mt Grove Counseling Llc | |
|
66 E State Rd Pleasant Grove UT 84062-2637 | |
| (801) 404-0064 | |
| Not Available |
| Full Name | Mt Grove Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 66 E State Rd, Pleasant Grove, Utah |
| Authorized Official Name and Position | Katherine B Bruner (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8016363036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Grove Counseling Llc 66 E State Rd Pleasant Grove UT 84062-2637 Ph: (801) 404-0064 | Mt Grove Counseling Llc 66 E State Rd Pleasant Grove UT 84062-2637 Ph: (801) 404-0064 |
| NPI Number | 1821554049 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 04/29/2022 |
| Certification Date | 04/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821554049 | NPI | - | NPPES |
| 1922523281 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
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