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Addiction (Substance Use Disorder) Counselor

NPI: 1144594003Organization

Specialties, Licenses & Credentials

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

19034(UT)

Counselor — Mental Health

Code: 101YM0800X

19034(UT)

Counselor — Pastoral

Code: 101YP1600X

19034(UT)

Counselor — Professional

Code: 101YP2500X

19034(UT)

Counselor — School

Code: 101YS0200X

19034(UT)

Psychoanalyst

Code: 102L00000X

19034(UT)

Psychologist — Addiction (Substance Use Disorder)

Code: 103TA0400X

19034(UT)

Psychologist — Cognitive & Behavioral

Code: 103TB0200X

19034(UT)

Psychologist — Counseling

Code: 103TC1900X

19034(UT)

Psychologist — Prescribing (Medical)

Code: 103TP0016X

19034(UT)

Psychologist — Group Psychotherapy

Code: 103TP2701X

19034(UT)

Social Worker — Clinical

Code: 1041C0700X

19034(UT)

Marriage & Family Therapist

Code: 106H00000X

19034(UT)

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

19034(UT)

Clinic/Center — Adult Mental Health

Code: 261QM0850X

19034(UT)

Contact & Hours

Address
3521 N UNIVERSITY AVE, SUITE 225
PROVO, UT 84604

Quick Facts

NPI
1144594003
Entity Type
Organization
Medicare
Not confirmed
Specialties
15
Locations
1

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