| Crescent Counseling & Consulting,, Llc | |
|
940 E. South Union Avenue Midvale UT 84047-2302 | |
| (385) 235-6926 | |
| (801) 255-7284 |
| Full Name | Crescent Counseling & Consulting,, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 940 E. South Union Avenue, Midvale, Utah |
| Authorized Official Name and Position | Michelle Christine Wilcox (SINGLE OWNER LLC) |
| Authorized Official Contact | 3852356926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Counseling & Consulting,, Llc 940 E. South Union Avenue Midvale UT 84047-2302 Ph: (385) 235-6926 | Crescent Counseling & Consulting,, Llc 940 E. South Union Avenue Midvale UT 84047-2302 Ph: (385) 235-6926 |
| NPI Number | 1487851978 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487851978 | NPI | - | NPPES |
| 788007788032 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 270969-6006 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | 270969-3501 (Utah) | Primary |
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