Organization Name: | NORTHERN UTAH COUNSELING LLC |
NPI Number: | 1073640322 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS D LINDNER (MEMBER MANAGER) |
Mailing Address: | 1725 S 1450 E Ste 340 Clearfield |
State: | UT US |
Postal Code: | 840152281 |
Phone Number: | 8017790955 |
Fax Number: | 8017790255 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |