Blue Cherries II LLC

NPI #1326342114 in Highland, Utah

Provider Information

NPI Number: 1326342114
Entity Type: Organization
Organization Name: Blue Cherries II LLC
Primary Specialty: Counselor
Enumeration Date: Jan 7, 2011
Last Updated: Dec 27, 2012

Practice Location

Address: 9722 N 5650 W
City: Highland
State: Utah
ZIP Code: 84003-3533
Phone: (801) 735-5971

Authorized Official

Name: CHRISTY PECK KANE, LCPC
Title: DIRECTOR
Phone: (702) 430-6206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Community Based Residential Treatment Facility, Mental Illness	320800000X
Counselor	101Y00000X	Primary

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