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General NPI Number Information
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NPI Number | 1396699104
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Entity Type | Organization
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Legal Business Name | REVOLUTIONS THERAPY PLLC
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 1452 E 820 N
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City | OREM
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State | UT
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Zip | 84097-5481
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Country | US
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Telephone | 801-432-0822
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 835
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-0835
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Country | US
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Telephone | 801-432-0822
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER WILLIAM MATTESON
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Credential | MS, LMFT
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Telephone | 801-432-0822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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