Colin Wilford, CMHC | |
5965 S 900 E Suite 100, Murray, UT 84121 | |
(801) 872-5516 | |
Not Available |
Full Name | Colin Wilford |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 5965 S 900 E Suite 100, Murray, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306442181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 11816985-6004 (Utah) | Primary |
Entity Name | Ascendant Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689128605 PECOS PAC ID: 1850673187 Enrollment ID: O20170123001085 |
Mailing Address | Practice Location Address |
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Colin Wilford, CMHC 4021 W Cypress, Cedar Hill, UT 84062 Ph: (801) 580-2969 | Colin Wilford, CMHC 5965 S 900 E Suite 100, Murray, UT 84121 Ph: (801) 872-5516 |
Jill Sorensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Murray, UT 84121 Phone: 801-263-7138 | |
Mira Wiswell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Murray, UT 84121 Phone: 801-263-7138 | |
Barbara Burke, CRC, LVRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Murray, UT 84121 Phone: 801-263-7138 | |
Britanee Montano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Murray, UT 84121 Phone: 801-263-7138 | |
Mark Maughan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Murray, UT 84121 Phone: 801-263-7138 | |
Elana M Olson, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5796 S 900 E, Murray, UT 84121 Phone: 801-717-6428 | |
Melanie Moreno-rivas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Murray, UT 84121 Phone: 801-263-7138 |