Individual provider · Type 1 NPI

Radha C. Moldover, LCSW

Mental Health Counselor · Bountiful, UT

NPI number 1174699490 Active

Practice location

390 N Main St
Bountiful, UT 84010-6046

Fax (801) 292-8369

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X58128873501 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1174699490

Radha C. Moldover, LCSW's National Provider Identifier is 1174699490, issued on Nov 28, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bountiful, UT. The record was last updated on Nov 30, 2021.