Sage Canyon Counseling, Pllc | |
2290 E 4500 S Ste 180 Holladay UT 84117-4493 | |
(970) 403-2458 | |
Not Available |
Full Name | Sage Canyon Counseling, Pllc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2290 E 4500 S Ste 180, Holladay, Utah |
Authorized Official Name and Position | Damon Bryan (OWNER) |
Authorized Official Contact | 9704032458 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sage Canyon Counseling, Pllc 1291 W Atherton Dr Salt Lake City UT 84123-2478 Ph: (406) 861-2288 | Sage Canyon Counseling, Pllc 2290 E 4500 S Ste 180 Holladay UT 84117-4493 Ph: (970) 403-2458 |
NPI Number | 1417664897 |
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Provider Enumeration Date | 11/03/2022 |
Last Update Date | 11/03/2022 |
Certification Date | 11/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417664897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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› Verified 2 days ago
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