| NPI Details | |
|---|---|
| NPI | 1073640322 |
| Enumeration Date | 02/27/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | DOUGLAS D DOUGLAS |
| Position | MEMBER MANAGER |
| Phone | (801) 779-0955 |
| Fax | (801) 779-0255 |
| Practice Location | |
|---|---|
| 1725 S 1450 E STE 340 CLEARFIELD UT, 84015-2281, US |
|
| Phone | (801) 779-0955 |
| Fax | (801) 779-0255 |
| Business Location | |
|---|---|
| 1725 S 1450 E STE 340 CLEARFIELD UT, 84015-2281, US |
|
| Phone | (801) 779-0955 |
| Fax | (801) 779-0255 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YA0400X |
| License State | |
| License Number | |
| Remove 1073640322 NPI Number | |
According to our database, Northern Utah Counseling Llc NPI is 1073640322, taxonomy code is 101YA0400X Northern Utah Counseling Llc physically located at 1725 S 1450 E, Clearfield UT, 84015-2281. NPI Number 1033115704 has the healthcare provider type.
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1073640322 NPI number is provided on an as is basis without warranty of any kind. 1073640322 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Utah Counseling Llc are for informational purposes only.
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