| Kindled Light Therapy And Wellness | |
|
1881 N 1120 W Provo UT 84604-1180 | |
| (801) 228-8069 | |
| Not Available |
| Full Name | Kindled Light Therapy And Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1881 N 1120 W, Provo, Utah |
| Authorized Official Name and Position | Karen Pendleton (OWNER) |
| Authorized Official Contact | 8012288069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindled Light Therapy And Wellness 455 W 390 S Spanish Fork UT 84660-4920 Ph: (801) 228-8069 | Kindled Light Therapy And Wellness 1881 N 1120 W Provo UT 84604-1180 Ph: (801) 228-8069 |
| NPI Number | 1295463578 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295463578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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