Organization · Type 2 NPI
Moonbridge Therapy LLC
Mental Health Counselor · Bountiful, UT
NPI number
1679395362
Active
Practice location
503 W 2600 S Suite 200, A
Bountiful, UT 84010
Mailing address
PO Box 540032
North Salt Lake, UT 84054-0032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1679395362
Moonbridge Therapy LLC's National Provider Identifier is 1679395362, issued on Oct 25, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bountiful, UT. The record was last updated on Oct 25, 2024.