| Charles L Diviney Iii Mc Lpc Ncc Llc | |
|
352 S Denver St Ste 350 Slc UT 84111-3059 | |
| (801) 521-4227 | |
| (801) 359-0777 |
| Full Name | Charles L Diviney Iii Mc Lpc Ncc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 352 S Denver St Ste 350, Slc, Utah |
| Authorized Official Name and Position | Debra Morrill (BILLING MANAGER) |
| Authorized Official Contact | 8019161645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L Diviney Iii Mc Lpc Ncc Llc Po Box 3872 Slc UT 84110-3872 Ph: (801) 521-4227 | Charles L Diviney Iii Mc Lpc Ncc Llc 352 S Denver St Ste 350 Slc UT 84111-3059 Ph: (801) 521-4227 |
| NPI Number | 1235447772 |
|---|---|
| Provider Enumeration Date | 09/17/2010 |
| Last Update Date | 10/02/2025 |
| Certification Date | 10/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235447772 | NPI | - | NPPES |
| 340426600001001 | Other | UT | BCBS UT |
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