Safe Space Counseling | |
379 N University Ave Provo UT 84601-2854 | |
(801) 341-9521 | |
Not Available |
Full Name | Safe Space Counseling |
---|---|
Speciality | Counselor - Mental Health |
Location | 379 N University Ave, Provo, Utah |
Authorized Official Name and Position | Isaac Vazquez (OWNER) |
Authorized Official Contact | 8507741574 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Safe Space Counseling 4076 E South Pass Rd Eagle Mountain UT 84005-6049 Ph: (801) 341-9521 | Safe Space Counseling 379 N University Ave Provo UT 84601-2854 Ph: (801) 341-9521 |
NPI Number | 1760971006 |
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Provider Enumeration Date | 05/02/2018 |
Last Update Date | 03/09/2024 |
Certification Date | 03/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760971006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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