| Rural Counseling Associates Llc | |
|
125 N State St Fairview UT 84629-5554 | |
| (435) 610-1810 | |
| Not Available |
| Full Name | Rural Counseling Associates Llc |
|---|---|
| Speciality | Social Worker |
| Location | 125 N State St, Fairview, Utah |
| Authorized Official Name and Position | Joseph Leo Anderson (OWNER) |
| Authorized Official Contact | 4356101810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Counseling Associates Llc 125 North State Street Po Box 282 Fairview UT 84629 Ph: (435) 610-1810 | Rural Counseling Associates Llc 125 N State St Fairview UT 84629-5554 Ph: (435) 610-1810 |
| NPI Number | 1518685411 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 08/16/2022 |
| Certification Date | 08/16/2022 |
| Medicare PECOS PAC ID | 0446612410 |
|---|---|
| Medicare Enrollment ID | O20230809000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518685411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | David L Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861651325 PECOS PAC ID: 6406042837 Enrollment ID: I20101126000010 |
| Provider Name | Joseph Leo Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487988325 PECOS PAC ID: 7618339680 Enrollment ID: I20240502000580 |