Max Ah Quin, Llc | |
3507 N University Ave Building 6, Suite 350 Provo UT 84604-4478 | |
(801) 830-2889 | |
Not Available |
Full Name | Max Ah Quin, Llc |
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Speciality | Counselor - Mental Health |
Location | 3507 N University Ave, Provo, Utah |
Authorized Official Name and Position | Max Ah Quin (MANAGER) |
Authorized Official Contact | 8018302889 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Max Ah Quin, Llc 511 W 630 S Orem UT 84058-6131 Ph: () - | Max Ah Quin, Llc 3507 N University Ave Building 6, Suite 350 Provo UT 84604-4478 Ph: (801) 830-2889 |
NPI Number | 1811360936 |
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Provider Enumeration Date | 11/11/2015 |
Last Update Date | 11/11/2015 |
Identifier | Type | State | Issuer |
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1811360936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 5847195-6004 (Utah) | Primary |
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