| Blue Theory Counseling Llc | |
|
10808 S River Front Pkwy Ste 308 South Jordan UT 84095-5761 | |
| (801) 984-6728 | |
| (801) 984-4715 |
| Full Name | Blue Theory Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10808 S River Front Pkwy Ste 308, South Jordan, Utah |
| Authorized Official Name and Position | Jacob Andreason (PROVIDER) |
| Authorized Official Contact | 8019846728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Theory Counseling Llc 10808 S River Front Pkwy Ste 308 South Jordan UT 84095-5761 Ph: (801) 984-6728 | Blue Theory Counseling Llc 10808 S River Front Pkwy Ste 308 South Jordan UT 84095-5761 Ph: (801) 984-6728 |
| NPI Number | 1992403513 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992403513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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