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General NPI Number Information
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NPI Number | 1508716143
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Entity Type | Organization
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Legal Business Name | INTENTIONAL PRACTICE COUNSELING LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 9678 S 700 E STE 103
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City | SANDY
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State | UT
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Zip | 84070-3593
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Country | US
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Telephone | 435-709-8890
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Fax |
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Provider Business Mailing Address
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Address Line | 9678 S 700 E STE 103
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City | SANDY
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State | UT
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Zip | 84070-3593
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Country | US
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Telephone | 435-709-8890
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | BONNIE ADAMS
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Credential | LMFT
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Telephone | 435-709-8890
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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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