Individual provider · Type 1 NPI

Grant Pemberton, CMHC

Mental Health Counselor · St. George, UT

NPI number 1619537503 Active

Practice location

321 N Mall Dr
St. George, UT 84790-7302

Call (435) 862-8612 Map

Mailing address

3910 London Ln
Santa Clara, UT 84765-5643

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8856945-6004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1619537503

Grant Pemberton, CMHC's National Provider Identifier is 1619537503, issued on Jun 13, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. George, UT. The record was last updated on Jun 13, 2019.