| Sundance Canyon Therapy, Coaching, And Consulting | |
|
180 N University Ave Ste 270 Provo UT 84601-5648 | |
| (801) 678-4198 | |
| Not Available |
| Full Name | Sundance Canyon Therapy, Coaching, And Consulting |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 180 N University Ave Ste 270, Provo, Utah |
| Authorized Official Name and Position | Mandy Erickson (THERAPIST) |
| Authorized Official Contact | 8016784198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Canyon Therapy, Coaching, And Consulting 4832 W Firmont Dr South Jordan UT 84009-8291 Ph: (801) 678-4198 | Sundance Canyon Therapy, Coaching, And Consulting 180 N University Ave Ste 270 Provo UT 84601-5648 Ph: (801) 678-4198 |
| NPI Number | 1750806519 |
|---|---|
| Provider Enumeration Date | 08/13/2017 |
| Last Update Date | 08/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750806519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 10471569-0160 (Utah) | Primary |
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