| Live Well Counseling Services Pllc | |
|
11748 S 3600 W Ste 3 South Jordan UT 84095-5922 | |
| (801) 896-8133 | |
| Not Available |
| Full Name | Live Well Counseling Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11748 S 3600 W Ste 3, South Jordan, Utah |
| Authorized Official Name and Position | Jacob K Vickrey (OWNER) |
| Authorized Official Contact | 8018968133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Well Counseling Services Pllc 11748 S 3600 W Ste 3 South Jordan UT 84095-5922 Ph: (801) 896-8133 | Live Well Counseling Services Pllc 11748 S 3600 W Ste 3 South Jordan UT 84095-5922 Ph: (801) 896-8133 |
| NPI Number | 1366079097 |
|---|---|
| Provider Enumeration Date | 03/24/2020 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366079097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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