| Mountain View Counseling Of North Ogden | |
|
805 E 3300 N Ogden UT 84414-1794 | |
| (385) 240-0310 | |
| Not Available |
| Full Name | Mountain View Counseling Of North Ogden |
|---|---|
| Speciality | Counselor |
| Location | 805 E 3300 N, Ogden, Utah |
| Authorized Official Name and Position | Candice Jane Child-illum (OWNER) |
| Authorized Official Contact | 3852400310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Counseling Of North Ogden 805 E 3300 N Ogden UT 84414-1794 Ph: (385) 240-0310 | Mountain View Counseling Of North Ogden 805 E 3300 N Ogden UT 84414-1794 Ph: (385) 240-0310 |
| NPI Number | 1457068512 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 10/28/2022 |
| Certification Date | 10/28/2022 |
| Medicare PECOS PAC ID | 2466821699 |
|---|---|
| Medicare Enrollment ID | O20221212000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457068512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Candice Child-illum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023670262 PECOS PAC ID: 3072982206 Enrollment ID: I20221212000584 |
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