Northern Utah Counseling Llc | |
49 E 200 S Clearfield UT 84015-1047 | |
(801) 779-0095 | |
(801) 779-0255 |
Full Name | Northern Utah Counseling Llc |
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Speciality | Counselor |
Location | 49 E 200 S, Clearfield, Utah |
Authorized Official Name and Position | Savannah Hayes (OFFICE MANAGER) |
Authorized Official Contact | 8017790095 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northern Utah Counseling Llc 49 E 200 S Clearfield UT 84015-1047 Ph: (801) 779-0095 | Northern Utah Counseling Llc 49 E 200 S Clearfield UT 84015-1047 Ph: (801) 779-0095 |
NPI Number | 1063843308 |
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Provider Enumeration Date | 12/12/2013 |
Last Update Date | 03/22/2022 |
Certification Date | 03/22/2022 |
Medicare PECOS PAC ID | 4284011149 |
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Medicare Enrollment ID | O20220513002129 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063843308 | NPI | - | NPPES |
1003833 | Medicaid | UT |
Provider Name | Paul Dawson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124305834 PECOS PAC ID: 5890027635 Enrollment ID: I20191029001628 |
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