| Nicholaus Owen Moore, | |
|
345 E 4500 S Ste 100, Murray, UT 84107-3991 | |
| (801) 465-5111 | |
| Not Available |
| Full Name | Nicholaus Owen Moore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 345 E 4500 S Ste 100, Murray, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649914409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 12735586-6009 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholaus Owen Moore, 345 E 4500 S Ste 100, Murray, UT 84107-3991 Ph: (801) 465-5111 | Nicholaus Owen Moore, 345 E 4500 S Ste 100, Murray, UT 84107-3991 Ph: (801) 465-5111 |
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 |