| Project Connection Utah | |
|
2670 S 2000 E Ste 209 Salt Lake City UT 84109-1783 | |
| (801) 633-6933 | |
| Not Available |
| Full Name | Project Connection Utah |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2670 S 2000 E Ste 209, Salt Lake City, Utah |
| Authorized Official Name and Position | Lennie Nichols Knowlton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8016336933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Connection Utah 2670 S 2000 E Ste 209 Salt Lake City UT 84109-1783 Ph: (801) 633-6933 | Project Connection Utah 2670 S 2000 E Ste 209 Salt Lake City UT 84109-1783 Ph: (801) 633-6933 |
| NPI Number | 1104392802 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 10/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104392802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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