Theratech Tx

NPI #1912676842 in Logan, Utah

Provider Information

NPI Number: 1912676842
Entity Type: Organization
Organization Name: Theratech Tx
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 13, 2021
Last Updated: Sep 13, 2021

Practice Location

Address: 95 W 100 S STE 102&126
City: Logan
State: Utah
ZIP Code: 84321-5810
Phone: (435) 592-9874

Authorized Official

Name: DR. STACY JONES, PHD, LMFT
Title: OWNER
Phone: (435) 592-9874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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