| Jm Counseling Llc | |
|
4190 S Highland Dr Ste 210 Salt Lake City UT 84124-2674 | |
| (385) 399-3696 | |
| Not Available |
| Full Name | Jm Counseling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4190 S Highland Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Scott Michael Mcaward (BILLING MANAGER) |
| Authorized Official Contact | 8018082083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jm Counseling Llc 1612 Gregson Ave Salt Lake City UT 84106 Ph: (801) 808-2083 | Jm Counseling Llc 4190 S Highland Dr Ste 210 Salt Lake City UT 84124-2674 Ph: (385) 399-3696 |
| NPI Number | 1336215706 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 10/19/2023 |
| Medicare PECOS PAC ID | 9537408786 |
|---|---|
| Medicare Enrollment ID | O20190305002481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336215706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 5844389-2501 (Utah) | Primary |
| Provider Name | Lisa Lyn Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285700658 PECOS PAC ID: 0446599690 Enrollment ID: I20190305002782 |
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