Mens Center for Counseling and Coaching

NPI #1306592779 in Draper, Utah

Provider Information

NPI Number: 1306592779
Entity Type: Organization
Organization Name: Mens Center for Counseling and Coaching
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 24, 2022
Last Updated: Feb 24, 2022

Practice Location

Address: 12884 S FRONTRUNNER BLVD STE 140
City: Draper
State: Utah
ZIP Code: 84020-5488
Phone: (336) 423-7697

Authorized Official

Name: MR. PATRICK S IDE
Title: OWNER
Phone: (336) 423-7697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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