| Bear's Ears Child And Family Therapy Llc | |
|
22 W Vine St Tooele UT 84074-2035 | |
| (435) 882-4354 | |
| Not Available |
| Full Name | Bear's Ears Child And Family Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 22 W Vine St, Tooele, Utah |
| Authorized Official Name and Position | Brent Ariel Westover (OWNER/MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 4358824354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear's Ears Child And Family Therapy Llc 22 W Vine St Tooele UT 84074-2035 Ph: (435) 882-4354 | Bear's Ears Child And Family Therapy Llc 22 W Vine St Tooele UT 84074-2035 Ph: (435) 882-4354 |
| NPI Number | 1316419021 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316419021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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