Provider Demographics
NPI:1700392974
Name:MARETTE MONSON, LLC
Entity Type:Organization
Organization Name:MARETTE MONSON, LLC
Other - Org Name:CENTER FOR COUNSELING EXCELLENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-980-1343
Mailing Address - Street 1:2180 EAST 4500 SOUTH
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HOLLADAY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84117
Mailing Address - Country:US
Mailing Address - Phone:385-202-3778
Mailing Address - Fax:801-938-9164
Practice Address - Street 1:2180 EAST 4500 SOUTH
Practice Address - Street 2:SUITE 105
Practice Address - City:HOLLADAY CITY
Practice Address - State:UT
Practice Address - Zip Code:84117
Practice Address - Country:US
Practice Address - Phone:385-202-3778
Practice Address - Fax:801-938-9164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-23
Last Update Date:2017-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8661496-3501251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health