| Mr Jason Edward Wilde, LPC | |
|
1360 E 1450 S, Clearfield, UT 84015-1611 | |
| (801) 773-0712 | |
| (801) 774-8267 |
| Full Name | Mr Jason Edward Wilde |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1360 E 1450 S, Clearfield, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689962060 | NPI | - | NPPES |
| 876000308007 | Medicaid | UT | |
| 260022408 | Other | UT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5638133-6004 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Edward Wilde, LPC 1360 E 1450 S, Clearfield, UT 84015-1611 Ph: (801) 773-0712 | Mr Jason Edward Wilde, LPC 1360 E 1450 S, Clearfield, UT 84015-1611 Ph: (801) 773-0712 |
Laroy Glover, Counselor Medicare: Not Enrolled in Medicare Practice Location: 387 E 450 S, Clearfield, UT 84015 Phone: 801-773-9149 Fax: 801-773-9152 | |
Justin Cypers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 189 S State St Ste 222, Clearfield, UT 84015 Phone: 801-255-5131 | |
Jennifer Lynne Wright, Counselor Medicare: Medicare Enrolled Practice Location: 446 E 450 S, Clearfield, UT 84015 Phone: 801-390-9447 | |
Ruth Cabrera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 189 S State St, Suite 222, Clearfield, UT 84015 Phone: 801-255-5131 Fax: 801-255-5131 | |
Desiree L White Eyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 S 500 E, Suite 135, Clearfield, UT 84015 Phone: 801-815-3443 Fax: 801-776-4162 | |
Kaitlin Vallera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 189 S State St Ste 222, Clearfield, UT 84015 Phone: 801-255-5131 Fax: 801-255-5131 | |
Kim Regina Williams - Redmond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1366 S Legend Hills Dr Ste 130, Clearfield, UT 84015 Phone: 801-528-2718 |