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General NPI Number Information
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NPI Number | 1770488769
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Entity Type | Organization
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Legal Business Name | PATH & PRESENCE THERAPY
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Dates
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Enumeration Date | 10/10/2026
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Last Update Date | 10/10/2026
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Provider Practice Location Address
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Address Line | 1021 OLD STONE HOUSE WAY
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City | PARK CITY
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State | UT
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Zip | 84098-5413
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Country | US
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Telephone | 435-776-5606
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 OLD STONE HOUSE WAY
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City | PARK CITY
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State | UT
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Zip | 84098-5413
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Country | US
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Telephone | 435-776-5606
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | CARINA NATION
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Credential | CMHC
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Telephone | 435-776-5606
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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 | NULL
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