Willow Haven Counseling LLC

NPI #1124676739 in Logan, Utah

Provider Information

NPI Number: 1124676739
Entity Type: Organization
Organization Name: Willow Haven Counseling LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 27, 2019
Last Updated: Aug 27, 2019

Practice Location

Address: 255 S MAIN ST STE 100
City: Logan
State: Utah
ZIP Code: 84321-5203
Phone: (801) 822-2109

Authorized Official

Name: MRS. ASHLEY CAROLINA BROG, LCSW
Title: MEMBER/THERAPIST
Phone: (801) 822-2109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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