| Pinnacle Addiction Ave. & Mental Health Therapy | |
|
3507 N University Ave # 375c Provo UT 84604-4478 | |
| (801) 842-8062 | |
| (801) 305-6006 |
| Full Name | Pinnacle Addiction Ave. & Mental Health Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3507 N University Ave # 375c, Provo, Utah |
| Authorized Official Name and Position | Stacey Perko (OWNER) |
| Authorized Official Contact | 8018428062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Addiction Ave. & Mental Health Therapy 5108 W Eagle Hill Cir West Jordan UT 84081-3989 Ph: (801) 842-8062 | Pinnacle Addiction Ave. & Mental Health Therapy 3507 N University Ave # 375c Provo UT 84604-4478 Ph: (801) 842-8062 |
| NPI Number | 1790306652 |
|---|---|
| Provider Enumeration Date | 05/01/2020 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790306652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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