| Bridging Resilience Counseling Services | |
|
774 E 2100 S Ste 101 Salt Lake City UT 84106-1863 | |
| (801) 842-9317 | |
| Not Available |
| Full Name | Bridging Resilience Counseling Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 774 E 2100 S Ste 101, Salt Lake City, Utah |
| Authorized Official Name and Position | Jacob Eugene Jacquez (OWNER) |
| Authorized Official Contact | 8018429317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridging Resilience Counseling Services 774 E 2100 S Ste 101 Salt Lake City UT 84106-1863 Ph: (801) 842-9317 | Bridging Resilience Counseling Services 774 E 2100 S Ste 101 Salt Lake City UT 84106-1863 Ph: (801) 842-9317 |
| NPI Number | 1740686252 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 11/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740686252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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