Mr Jeffrey Jay Gregson, LPC | |
722 Shepard Ln, #105, Farmington, UT 84025-3845 | |
(801) 451-2623 | |
(801) 451-2623 |
Full Name | Mr Jeffrey Jay Gregson |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 722 Shepard Ln, Farmington, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952450678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 373684-6004 (Utah) | Primary |
Entity Name | Optimal Self Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932833456 PECOS PAC ID: 2264974088 Enrollment ID: O20240608000053 |
Mailing Address | Practice Location Address |
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Mr Jeffrey Jay Gregson, LPC 722 Shepard Ln, #105, Farmington, UT 84025-3845 Ph: (801) 451-2623 | Mr Jeffrey Jay Gregson, LPC 722 Shepard Ln, #105, Farmington, UT 84025-3845 Ph: (801) 451-2623 |
Mr. Dwight David Hurst, CPCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1466 N Highway 89 Ste 220, Farmington, UT 84025 Phone: 801-451-0475 | |
Lisa Welling, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 961 W Willow Garden Paseo, Farmington, UT 84025 Phone: 707-280-4448 | |
Lauren Kofford Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 Spencer Way, Farmington, UT 84025 Phone: 801-360-0789 | |
Clifford S Woodall, BCBA, SSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 N East Promontory Ste 200, Farmington, UT 84025 Phone: 385-245-2151 Fax: 801-255-5131 | |
Richard L Cox, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1438 N Highway 89, Suite 130, Farmington, UT 84025 Phone: 330-312-5567 | |
Ashley Connors, Counselor Medicare: Not Enrolled in Medicare Practice Location: 810 Shepard Ln, Farmington, UT 84025 Phone: 385-888-0030 | |
Mrs. Rachelle Eastin, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 N. East Promontory #200, Farmington, UT 84025 Phone: 801-510-1434 Fax: 801-218-3501 |