| White Lotus Family Therapy | |
|
15112 S Wild Horse Way Bluffdale UT 84065-1826 | |
| (801) 633-3119 | |
| Not Available |
| Full Name | White Lotus Family Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 15112 S Wild Horse Way, Bluffdale, Utah |
| Authorized Official Name and Position | Tyson Joseph Jensen (OWNER) |
| Authorized Official Contact | 8016333119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Lotus Family Therapy 15112 S Wild Horse Way Bluffdale UT 84065-1826 Ph: (801) 633-3119 | White Lotus Family Therapy 15112 S Wild Horse Way Bluffdale UT 84065-1826 Ph: (801) 633-3119 |
| NPI Number | 1386340958 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386340958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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