| Palisades Counseling Llc | |
|
3319 N University Ave Ste 100 Provo UT 84604-4447 | |
| (801) 356-0014 | |
| Not Available |
| Full Name | Palisades Counseling Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 3319 N University Ave Ste 100, Provo, Utah |
| Authorized Official Name and Position | Shawn Edgington (OWNER) |
| Authorized Official Contact | 8013560014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palisades Counseling Llc 3319 N University Ave Ste 100 Provo UT 84604-4447 Ph: (801) 356-0014 | Palisades Counseling Llc 3319 N University Ave Ste 100 Provo UT 84604-4447 Ph: (801) 356-0014 |
| NPI Number | 1225817414 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225817414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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