NPI 1639537632 · live from the CMS NPI Registry
A Courageous Life Counseling, PLLC
Social Worker, Clinical in Riverton, UT. National Provider Identifier 1639537632, active.
NPI record
| NPI | 1639537632 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3409 W 12600 S Ste 230, Riverton, UT 84065 |
| Practice phone | 435-248-2325 |
| Enumerated | February 4, 2016 |
| Last updated | February 4, 2016 |
| Authorized official | Julia Sickles, Owner/Therapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 9452890-3501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.