| Fiddle Creek Counseling | |
|
475 N 300 W Ste 16 Kaysville UT 84037-3110 | |
| (208) 547-7762 | |
| Not Available |
| Full Name | Fiddle Creek Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 475 N 300 W Ste 16, Kaysville, Utah |
| Authorized Official Name and Position | Jaclyn Randolph (LCSW) |
| Authorized Official Contact | 2085477762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fiddle Creek Counseling 475 N 300 W Ste 16 Kaysville UT 84037-3110 Ph: (208) 547-7762 | Fiddle Creek Counseling 475 N 300 W Ste 16 Kaysville UT 84037-3110 Ph: (208) 547-7762 |
| NPI Number | 1649040536 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649040536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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