Charles Mark Osborne Ii, | |
951 E 1510 N, North Ogden, UT 84404-7706 | |
(601) 467-6856 | |
Not Available |
Full Name | Charles Mark Osborne Ii |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 951 E 1510 N, North Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982231999 | NPI | - | NPPES |
1041C0700X | Other | UT | LICENSED CLINICAL SOCIAL WORKER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10738348-3501 (Utah) | Primary |
Entity Name | Gratitude Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154196483 PECOS PAC ID: 7113367830 Enrollment ID: O20240429002387 |
Mailing Address | Practice Location Address |
---|---|
Charles Mark Osborne Ii, 951 E 1510 N, North Ogden, UT 84404-7706 Ph: (601) 467-6856 | Charles Mark Osborne Ii, 951 E 1510 N, North Ogden, UT 84404-7706 Ph: (601) 467-6856 |
Joey Cothren, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 E 3225 N, North Ogden, UT 84414 Phone: 801-564-1513 | |
Jeana H Berube, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 433 N 1500 W, North Ogden, UT 84404 Phone: 801-710-2372 | |
Nicholas Call, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2727 N Washington Blvd, Suite 301, North Ogden, UT 84414 Phone: 801-710-0421 |