| Legacy Counseling Center | |
|
318 Ridge Dr Alpine UT 84004-2602 | |
| (801) 822-4892 | |
| Not Available |
| Full Name | Legacy Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 318 Ridge Dr, Alpine, Utah |
| Authorized Official Name and Position | John Gawrys (ADMINISTRATOR) |
| Authorized Official Contact | 8018224892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Counseling Center 318 Ridge Dr Alpine UT 84004-2602 Ph: (801) 822-4892 | Legacy Counseling Center 318 Ridge Dr Alpine UT 84004-2602 Ph: (801) 822-4892 |
| NPI Number | 1821395633 |
|---|---|
| Provider Enumeration Date | 02/15/2011 |
| Last Update Date | 02/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821395633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 53747966004 (Utah) | Primary |
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