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General NPI Number Information
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NPI Number | 1184446270
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Entity Type | Organization
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Legal Business Name | OAKRIDGE COUNSELING CENTER
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 10459 S TEMPLE DR STE 101
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-8930
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Country | US
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Telephone | 801-893-1330
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Fax |
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Provider Business Mailing Address
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Address Line | 5414 W DAYBREAK PKWY STE 408
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City | SOUTH JORDAN
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State | UT
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Zip | 84009-5904
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Country | US
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Telephone | 801-893-1330
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY MCGARRY
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Credential | CMHC
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Telephone | 801-893-1330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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