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251 W State Road 198 Ste 3 Salem UT 84653-5608 | |
| (801) 504-6665 | |
| (801) 504-9073 |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 251 W State Road 198 Ste 3, Salem, Utah |
| Authorized Official Name and Position | Josh Hooton (OWNER/PROVIDER) |
| Authorized Official Contact | 8055046665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
251 W State Road 198 Ste 3 Salem UT 84653-5608 Ph: (801) 504-6665 | 251 W State Road 198 Ste 3 Salem UT 84653-5608 Ph: (801) 504-6665 |
| NPI Number | 1982135265 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 10/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982135265 | NPI | - | NPPES |
| 2019033956 | Other | ANCC PMHNP BOARD CERTIFICATION |
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