| Sage Canyon Counseling, Pllc | |
|
2290 E 4500 S Ste 180 Holladay UT 84117-4493 | |
| (970) 403-2458 | |
| Not Available |
| Full Name | Sage Canyon Counseling, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2290 E 4500 S Ste 180, Holladay, Utah |
| Authorized Official Name and Position | Damon Bryan (OWNER) |
| Authorized Official Contact | 9704032458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Canyon Counseling, Pllc 1291 W Atherton Dr Salt Lake City UT 84123-2478 Ph: (406) 861-2288 | Sage Canyon Counseling, Pllc 2290 E 4500 S Ste 180 Holladay UT 84117-4493 Ph: (970) 403-2458 |
| NPI Number | 1417664897 |
|---|---|
| Provider Enumeration Date | 11/03/2022 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417664897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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