| High Country Counseling And Consulting | |
|
8821 S Redwood Rd Ste A West Jordan UT 84088-9279 | |
| (801) 918-0697 | |
| Not Available |
| Full Name | High Country Counseling And Consulting |
|---|---|
| Speciality | Counselor |
| Location | 8821 S Redwood Rd Ste A, West Jordan, Utah |
| Authorized Official Name and Position | Patrick Joseph Gooley (OWNER/THERAPIST) |
| Authorized Official Contact | 8019180697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| High Country Counseling And Consulting 1099 Webster Cir Kamas UT 84036-9792 Ph: (801) 918-0697 | High Country Counseling And Consulting 8821 S Redwood Rd Ste A West Jordan UT 84088-9279 Ph: (801) 918-0697 |
| NPI Number | 1659028991 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Medicare PECOS PAC ID | 4688051337 |
|---|---|
| Medicare Enrollment ID | O20220518001171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659028991 | NPI | - | NPPES |
| 1063741577 | Other | UT | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Patrick J Gooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063741577 PECOS PAC ID: 2567691439 Enrollment ID: I20140219000790 |
| Provider Name | Brenda J Dowse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821318346 PECOS PAC ID: 4082836903 Enrollment ID: I20141110001163 |
| Provider Name | Breeann Berger Hamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659880763 PECOS PAC ID: 2668731944 Enrollment ID: I20180111002741 |
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