Demers Mental Health | |
124 S 400 E Ste 230 Salt Lake City UT 84111-5313 | |
(801) 597-5686 | |
(801) 595-0669 |
Full Name | Demers Mental Health |
---|---|
Speciality | Counselor - Mental Health |
Location | 124 S 400 E Ste 230, Salt Lake City, Utah |
Authorized Official Name and Position | Shaun Demers (OWNER/APRN) |
Authorized Official Contact | 8015975686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Demers Mental Health Po Box 581333 Salt Lake City UT 84158-1333 Ph: (801) 597-5686 | Demers Mental Health 124 S 400 E Ste 230 Salt Lake City UT 84111-5313 Ph: (801) 597-5686 |
NPI Number | 1003920513 |
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Provider Enumeration Date | 08/19/2006 |
Last Update Date | 06/24/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003920513 | NPI | - | NPPES |
71546 | Other | UT | PEHP |
28387344002001 | Other | UT | BCBS OF UTAH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2838734405 (Utah) | Primary |
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