NPI | 1033947619 |
---|---|
Doing Business As | MOVING FORWARD COUNSELING, PLLC |
Entity Type | Organization |
Authorized Contact | JASON R WAGNER Owner 801-810-5037 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2024-07-24 |
Last Update Date | 2024-07-24 |