| J&d Association Llc | |
|
7138 S Highland Dr Ste 220 Salt Lake City UT 84121-3789 | |
| (801) 718-9186 | |
| Not Available |
| Full Name | J&d Association Llc |
|---|---|
| Speciality | Counselor |
| Location | 7138 S Highland Dr Ste 220, Salt Lake City, Utah |
| Authorized Official Name and Position | John Webb (MEMBER) |
| Authorized Official Contact | 8017189186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J&d Association Llc Po Box 271351 Salt Lake City UT 84127-1351 Ph: (801) 718-9186 | J&d Association Llc 7138 S Highland Dr Ste 220 Salt Lake City UT 84121-3789 Ph: (801) 718-9186 |
| NPI Number | 1265114193 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 2163860891 |
|---|---|
| Medicare Enrollment ID | O20240401002000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265114193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| Provider Name | Aymara Valladares |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184865289 PECOS PAC ID: 1355796244 Enrollment ID: I20240423003737 |
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