Authenticity Utah Pllc
NPI #1477175560 in South Salt Lake, Utah
Provider Information
- NPI Number
- 1477175560
- Entity Type
- Organization
- Organization Name
- Authenticity Utah Pllc
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- May 11, 2020
- Last Updated
- May 11, 2020
Practice Location
- Address
- 2265 S STATE ST APT 272
- City
- South Salt Lake
- State
- Utah
- ZIP Code
- 84115-1405
- Phone
- (435) 720-8338
Authorized Official
- Name
- PETER BRYAN CONDER, LCMHC
- Title
- FOUNDER
- Phone
- (435) 720-8338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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