Banyan Counseling

NPI #1558010900 in Provo, Utah

Provider Information

NPI Number: 1558010900
Entity Type: Organization
Organization Name: Banyan Counseling
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 22, 2022
Last Updated: Mar 22, 2022

Practice Location

Address: 3210 N CANYON RD STE 206
City: Provo
State: Utah
ZIP Code: 84604-6508
Phone: (801) 382-8008

Authorized Official

Name: MAREN KINLACHEENY
Title: OWNER
Phone: (801) 382-8008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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