| Doug And Betty Ford Counseling Llc | |
|
216 Cougar Cir Elk Ridge UT 84651-9565 | |
| (801) 921-9495 | |
| Not Available |
| Full Name | Doug And Betty Ford Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 216 Cougar Cir, Elk Ridge, Utah |
| Authorized Official Name and Position | Cheryl Ipson (BILLNG MANAGER) |
| Authorized Official Contact | 8019219495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doug And Betty Ford Counseling Llc Po Box 222 Salem UT 84653-0222 Ph: (801) 921-9495 | Doug And Betty Ford Counseling Llc 216 Cougar Cir Elk Ridge UT 84651-9565 Ph: (801) 921-9495 |
| NPI Number | 1316339443 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 02/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316339443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3315546004 (Utah) | Primary |
| 1041C0700X | Social Worker - Clinical | 49290043501 (Utah) | Secondary |