MEDICARE: THERAPEUTIC SOLUTIONS & COUNSELING, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1033592407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPEUTIC SOLUTIONS & COUNSELING, INC

Provider Business Mailing Address
First Line	:	2459 S LAUREL ST
Second Line	:
City	:	WEST HAVEN
State	:	UT
Zip	:	84401-7081
Country	:	US
Telephone Number	:	801-941-8242
Fax Number	:

Provider Business Practice Location Address
First Line	:	1448 N 2000 W
Second Line	:	SUITE 10
City	:	CLINTON
State	:	UT
Zip	:	84015-8377
Country	:	US
Telephone Number	:	801-941-8242
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	MS. KAREN DODD
Credential	:	LCSW
Telephone Number	:	801-941-8242

Provider Enumeration Date	:	07/03/2015
Last Update Date	:	07/03/2015

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