| Sundance Counseling Llc | |
|
700 Bitner Rd Ste 105 Park City UT 84098-5489 | |
| (435) 649-3617 | |
| (435) 649-9687 |
| Full Name | Sundance Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 700 Bitner Rd Ste 105, Park City, Utah |
| Authorized Official Name and Position | Marcia Jean Kilpatrick (SOLE PROPREITOR) |
| Authorized Official Contact | 4356493617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Counseling Llc 700 Bitner Rd Ste 105 Po Box 980901 Park City UT 84098-5489 Ph: (435) 649-3617 | Sundance Counseling Llc 700 Bitner Rd Ste 105 Park City UT 84098-5489 Ph: (435) 649-3617 |
| NPI Number | 1295019024 |
|---|---|
| Provider Enumeration Date | 09/28/2011 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295019024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8106626-3501 (Utah) | Primary |
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