| Impax Counseling Foundation | |
|
4512 W Watchmen Way Herriman UT 84096-2946 | |
| (385) 414-7711 | |
| Not Available |
| Full Name | Impax Counseling Foundation |
|---|---|
| Speciality | Social Worker |
| Location | 4512 W Watchmen Way, Herriman, Utah |
| Authorized Official Name and Position | Woodrow Joseph Bartlett (OWNER) |
| Authorized Official Contact | 3854147711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impax Counseling Foundation 4512 W Watchmen Way Herriman UT 84096-2946 Ph: (385) 414-7711 | Impax Counseling Foundation 4512 W Watchmen Way Herriman UT 84096-2946 Ph: (385) 414-7711 |
| NPI Number | 1487419263 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487419263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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