| Willow Medella Wellness, Llc | |
|
3114 W 8565 S West Jordan UT 84088-9646 | |
| (801) 906-3802 | |
| Not Available |
| Full Name | Willow Medella Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3114 W 8565 S, West Jordan, Utah |
| Authorized Official Name and Position | Danniel Worthen Cullumber (CEO) |
| Authorized Official Contact | 8019063802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Medella Wellness, Llc 3114 W 8565 S West Jordan UT 84088-9646 Ph: (801) 906-3802 | Willow Medella Wellness, Llc 3114 W 8565 S West Jordan UT 84088-9646 Ph: (801) 906-3802 |
| NPI Number | 1649150178 |
|---|---|
| Provider Enumeration Date | 09/04/2025 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649150178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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