Jacob Grant Brown, CMHC | |
2997 S Red Pine Dr, Saratoga Springs, UT 84045-4817 | |
(801) 477-6257 | |
Not Available |
Full Name | Jacob Grant Brown |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2997 S Red Pine Dr, Saratoga Springs, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962912501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LAC-16935 (Arizona) | Secondary |
101YP2500X | Counselor - Professional | 10540388-6004 (Utah) | Primary |
Entity Name | Valley Mental Health Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275599797 PECOS PAC ID: 0042121196 Enrollment ID: O20031111000937 |
Mailing Address | Practice Location Address |
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Jacob Grant Brown, CMHC 2997 S Red Pine Dr, Saratoga Springs, UT 84045-4817 Ph: (801) 477-6257 | Jacob Grant Brown, CMHC 2997 S Red Pine Dr, Saratoga Springs, UT 84045-4817 Ph: (801) 477-6257 |
Jodi Lyn Black, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 184 E Paradise Ct, Saratoga Springs, UT 84045 Phone: 801-678-3971 | |
Nicholas Baum, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 468 W Meadow Crest Way, Saratoga Springs, UT 84045 Phone: 385-207-8910 | |
Ms. Marcia Lynn Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 W Medical Dr Ste 1, Saratoga Springs, UT 84045 Phone: 801-955-3600 | |
William Bogner Iii, LMFT 13798387-3902 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1329 E White St, Saratoga Springs, UT 84045 Phone: 805-450-3266 | |
Mrs. Attica Yvette Schmidt, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4168 S Sunrise Dr, Saratoga Springs, UT 84045 Phone: 801-419-5525 | |
Heidi Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 W Medical Dr Ste 1, Saratoga Springs, UT 84045 Phone: 801-955-3600 | |
Kyler Jay Griffith, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1305 N Commerce Dr Ste 100, Saratoga Springs, UT 84045 Phone: 801-341-8274 |