| Kodiak Counseling | |
|
175 N 100 W Ste N103 Vernal UT 84078-2049 | |
| (435) 962-0705 | |
| Not Available |
| Full Name | Kodiak Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 175 N 100 W Ste N103, Vernal, Utah |
| Authorized Official Name and Position | David James Aldrich (OWNER) |
| Authorized Official Contact | 4359620705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kodiak Counseling 431 E Main St Vernal UT 84078-2609 Ph: (435) 962-0705 | Kodiak Counseling 175 N 100 W Ste N103 Vernal UT 84078-2049 Ph: (435) 962-0705 |
| NPI Number | 1396507695 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396507695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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