| NPI | 1154465813 |
|---|---|
| Doing Business As | INTERMOUNTAIN COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | MONICA D CHRISTY Director President Of Professional 801-263-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: UT 1097692501) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |