Organization · Type 2 NPI
I Promise Foundation
Addiction (Substance Use Disorder) Counselor · Provo, UT
NPI number
1144594003
Active
Practice location
3521 N University Ave, Suite 225
Provo, UT 84604-4418
Fax (801) 426-4615
Mailing address
223 W Bulldog Blvd # 443
Provo, UT 84604-2546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 19034 (UT) |
| Mental Health Counselor | 101YM0800X | 19034 (UT) |
| Pastoral Counselor | 101YP1600X | 19034 (UT) |
| Professional Counselor | 101YP2500X | 19034 (UT) |
| School Counselor | 101YS0200X | 19034 (UT) |
| Psychoanalyst | 102L00000X | 19034 (UT) |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 19034 (UT) |
| Cognitive & Behavioral Psychologist | 103TB0200X | 19034 (UT) |
| Counseling Psychologist | 103TC1900X | 19034 (UT) |
| Prescribing (Medical) Psychologist | 103TP0016X | 19034 (UT) |
| Group Psychotherapy Psychologist | 103TP2701X | 19034 (UT) |
| Clinical Social Worker | 1041C0700X | 19034 (UT) |
| Marriage & Family Therapist | 106H00000X | 19034 (UT) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 19034 (UT) |
| Adult Mental Health Clinic/Center | 261QM0850X | 19034 (UT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Provo
About NPI 1144594003
I Promise Foundation's National Provider Identifier is 1144594003, issued on Feb 23, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Provo, UT. The record was last updated on Feb 23, 2012.