Soul Logic Counseling
Social Worker, Clinical in Millcreek, UT. Organization (NPI-2).
NPI number1124853239
StatusActive
Last updated in NPPESSep 6, 2024
Details
- NPI
- 1124853239
- Entity type
- Organization (NPI-2)
- Legal business name
- Soul Logic Counseling
- Organization subpart
- No
- Enumeration date
- Sep 6, 2024
- Certification date
- Sep 6, 2024
- Last updated
- Sep 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Other names
- Susan Bollow Counseling (Former Legal Business Name)
Practice location
4434 S Highland DrMillcreek, UT 84124-3533
Phone 385-321-3109
Mailing address
4434 S Highland DrMillcreek, UT 84124-3533
Phone 385-321-3109
Authorized official
Susan Michelle Bollow
Owner/ Clinical Director
3853213109
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