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NPI Code Detail

MEDICARE: BUNNELL & VIERIG LLC

MEDICARE: BUNNELL & VIERIG LLC
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
1104100000XSocial Worker
2106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1821633843
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUNNELL & VIERIG LLC
Provider Business Mailing Address
First Line : 1538 E WINWARD DR
Second Line :
City : HOLLADAY
State : UT
Zip : 84117-7536
Country : US
Telephone Number : 702-561-1603
Fax Number :
Provider Business Practice Location Address
First Line : 4568 S HIGHLAND DR STE 380
Second Line :
City : MILLCREEK
State : UT
Zip : 84117-4213
Country : US
Telephone Number : 385-448-0835
Fax Number :
Authorized Official
Title or Position : CLINICAL THERAPIST
Name : MCKENZIE VIERIG
Credential : LMFT
Telephone Number : 702-561-1603
Provider Enumeration Date : 11/13/2019
Last Update Date : 11/13/2019

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Directions to “BUNNELL & VIERIG LLC ” Practice Location

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