| Raylene Fossum, | |
|
1361 N 1075 W Ste 14, Farmington, UT 84025-2876 | |
| (385) 316-7127 | |
| Not Available |
| Full Name | Raylene Fossum |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1361 N 1075 W Ste 14, Farmington, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780402149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Raylene Fossum, 1361 N 1075 W Ste 14, Farmington, UT 84025-2876 Ph: () - | Raylene Fossum, 1361 N 1075 W Ste 14, Farmington, UT 84025-2876 Ph: (385) 316-7127 |
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 |