Provo Counseling Center

NPI #1992467963 in Provo, Utah

Provider Information

NPI Number: 1992467963
Entity Type: Organization
Organization Name: Provo Counseling Center
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 7, 2021
Last Updated: Aug 25, 2023

Practice Location

Address: 3325 N UNIVERSITY AVE STE 300
City: Provo
State: Utah
ZIP Code: 84604-7412
Phone: (801) 472-7134

Authorized Official

Name: CORY BRAD DENNIS, PHC LCSW
Title: OWNER/OPERATOR
Phone: (801) 472-7134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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