| Chrysalis Counseling Center, L.l.c. | |
|
7321 S State St Suite B Midvale UT 84047-2055 | |
| (801) 808-9311 | |
| (801) 561-9311 |
| Full Name | Chrysalis Counseling Center, L.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7321 S State St, Midvale, Utah |
| Authorized Official Name and Position | Kirk Ray Read (OWNER/DIRECTOR) |
| Authorized Official Contact | 8018089311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Counseling Center, L.l.c. 7321 S State St Suite B Midvale UT 84047-2055 Ph: (801) 808-9311 | Chrysalis Counseling Center, L.l.c. 7321 S State St Suite B Midvale UT 84047-2055 Ph: (801) 808-9311 |
| NPI Number | 1497717573 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497717573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 130765-3501 (Utah) | Primary |
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