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CHARLES L DIVINEY III MC LPC NCC LLC

Professional Counselor

NPI: 1235447772Organization

Specialties, Licenses & Credentials

Counselor — Professional

Code: 101YP2500X

5170621-6004(UT)340426-6004(UT)

Social Worker — Clinical

Code: 1041C0700X

6281940-3501(UT)

Clinical Nurse Specialist — Psychiatric/Mental Health

Code: 364SP0808X

210158-4405(UT)

Contact & Hours

Address
352 S DENVER ST STE 350
SALT LAKE CITY, UT 84111

Quick Facts

NPI
1235447772
Entity Type
Organization
Medicare
Not confirmed
Specialties
4
Locations
1

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