| Charles Loosemore, | |
|
934 S Main St, Layton, UT 84041-7135 | |
| (801) 773-7060 | |
| Not Available |
| Full Name | Charles Loosemore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 934 S Main St, Layton, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437616273 | NPI | - | NPPES |
| 000055266 | Other | UT | MEDICARE PIN |
| 260022408 | Other | UT | RAILROAD MEDICARE |
| 8760003008007 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14249 (California) | Primary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Loosemore, 934 S Main St, Layton, UT 84041-7135 Ph: (801) 773-7060 | Charles Loosemore, 934 S Main St, Layton, UT 84041-7135 Ph: (801) 773-7060 |
Terrell R Campbell Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 930 W Hill Field Rd Ste A, Layton, UT 84041 Phone: 801-336-3040 | |
Heidi L Orosco, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Gabriella Campbell, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 746 S Main St, Layton, UT 84041 Phone: 801-915-2449 | |
Rosa Louise Bridges, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Ms. Tonya Sue Gloshen, LCSW, LSUDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1347 E. Rosewood Lane, #21, Layton, UT 84040 Phone: 801-556-8080 | |
Jack Kettering, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 930 W Hill Field Rd, A, Layton, UT 84041 Phone: 801-366-3040 | |
Krista Buda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 748 S 825 E, Layton, UT 84041 Phone: 352-256-2560 |