| Evnsq, Llc | |
|
5170 S Highland Dr Holladay UT 84117-7048 | |
| (801) 669-3967 | |
| Not Available |
| Full Name | Evnsq, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5170 S Highland Dr, Holladay, Utah |
| Authorized Official Name and Position | Brianna Jones-whelan (COO) |
| Authorized Official Contact | 8012448238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evnsq, Llc 5170 S Highland Dr Holladay UT 84117-7048 Ph: (801) 669-3967 | Evnsq, Llc 5170 S Highland Dr Holladay UT 84117-7048 Ph: (801) 669-3967 |
| NPI Number | 1538622675 |
|---|---|
| Provider Enumeration Date | 04/06/2019 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538622675 | NPI | - | NPPES |
| 72573 | Other | UT | STATE LICENSE NUMBER |
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