| Willow Haven Counseling Llc | |
|
255 S Main St Ste 100 Logan UT 84321-5203 | |
| (801) 822-2109 | |
| Not Available |
| Full Name | Willow Haven Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 255 S Main St Ste 100, Logan, Utah |
| Authorized Official Name and Position | Ashley Carolina Brog (MEMBER/THERAPIST) |
| Authorized Official Contact | 8018222109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Haven Counseling Llc 1295 E 2100 N North Logan UT 84341-2035 Ph: (801) 822-2109 | Willow Haven Counseling Llc 255 S Main St Ste 100 Logan UT 84321-5203 Ph: (801) 822-2109 |
| NPI Number | 1124676739 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 08/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124676739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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