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General NPI Number Information
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NPI Number | 1952445819
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Entity Type | Organization
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Legal Business Name | DAVIS COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1466 N HIGHWAY 89 STE 230
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City | FARMINGTON
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State | UT
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Zip | 84025-2738
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Country | US
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Telephone | 801-447-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1093
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City | FARMINGTON
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State | UT
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Zip | 84025-1093
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALISA GOODWIN SNELL
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Credential | LMFT
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Telephone | 801-447-6000
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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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