9-line Counseling, Pllc | |
2940 W Maple Loop Dr Ste 303d Lehi UT 84043-6036 | |
(801) 380-3581 | |
Not Available |
Full Name | 9-line Counseling, Pllc |
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Speciality | Social Worker |
Location | 2940 W Maple Loop Dr Ste 303d, Lehi, Utah |
Authorized Official Name and Position | William Russell (OWNER) |
Authorized Official Contact | 8013803581 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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9-line Counseling, Pllc 2940 W Maple Loop Dr Ste 303d Lehi UT 84043-6036 Ph: (801) 380-3581 | 9-line Counseling, Pllc 2940 W Maple Loop Dr Ste 303d Lehi UT 84043-6036 Ph: (801) 380-3581 |
NPI Number | 1144918012 |
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Provider Enumeration Date | 04/27/2023 |
Last Update Date | 05/03/2023 |
Certification Date | 05/03/2023 |
Medicare PECOS PAC ID | 2860851946 |
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Medicare Enrollment ID | O20230707001311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144918012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | William Andrew Russell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871079335 PECOS PAC ID: 4587041587 Enrollment ID: I20220512002186 |
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