NPI 1295093656

Life Transition Counseling

Organisation Preferred Provider Organization Layton, UT

Practice location

Address: 2317 N Hill Field Rd 103, Layton, UT 84041-4781
Phone: (801) 608-9325
Mailing address: 634 E Clearwater Dr, Layton, UT 84041-4284

Authorised official

Name: Victoria Jerilyn Young
Title: Clinical Theripist
Phone: (801) 608-9325

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 179401-3501 (UT)

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Registry record

NPI: 1295093656
Entity type: Organization
NPI issued: 23 Apr 2012
Record last updated: 23 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.