Empowering Relief Counseling, Pllc | |
5814 S 900 E Murray UT 84121-1644 | |
(385) 800-3272 | |
(385) 800-3260 |
Full Name | Empowering Relief Counseling, Pllc |
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Speciality | Clinic/Center |
Location | 5814 S 900 E, Murray, Utah |
Authorized Official Name and Position | Jacob Eugene Jacquez (OWNER, EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3858003272 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Empowering Relief Counseling, Pllc 5814 S 900 E Murray UT 84121-1644 Ph: (385) 800-3272 | Empowering Relief Counseling, Pllc 5814 S 900 E Murray UT 84121-1644 Ph: (385) 800-3272 |
NPI Number | 1548796931 |
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Provider Enumeration Date | 05/04/2017 |
Last Update Date | 07/16/2023 |
Certification Date | 07/16/2023 |
Medicare PECOS PAC ID | 4688946601 |
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Medicare Enrollment ID | O20170824003358 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548796931 | NPI | - | NPPES |
Provider Name | Brenda J Dowse |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821318346 PECOS PAC ID: 4082836903 Enrollment ID: I20141110001163 |
Provider Name | Jacob Eugene Jacquez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841571353 PECOS PAC ID: 8921238874 Enrollment ID: I20141215000176 |
Provider Name | Amanda Jae Gonzalez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942515317 PECOS PAC ID: 3476830696 Enrollment ID: I20170425002714 |
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