Legacy Counseling Center

NPI #1821395633 in Alpine, Utah

Provider Information

NPI Number: 1821395633
Entity Type: Organization
Organization Name: Legacy Counseling Center
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 15, 2011
Last Updated: Feb 15, 2011

Practice Location

Address: 318 RIDGE DR
City: Alpine
State: Utah
ZIP Code: 84004-2602
Phone: (801) 822-4892

Authorized Official

Name: MR. JOHN GAWRYS JR., LPC
Title: ADMINISTRATOR
Phone: (801) 822-4892

Specialties & Taxonomy Codes

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

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