| St. John Therapeutic Services Inc. | |
|
555 E 5300 S Suite 6 South Ogden UT 84405-4509 | |
| (801) 621-5385 | |
| Not Available |
| Full Name | St. John Therapeutic Services Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 555 E 5300 S, South Ogden, Utah |
| Authorized Official Name and Position | Frank J Mercik (CEO) |
| Authorized Official Contact | 8016215385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. John Therapeutic Services Inc. 555 E 5300 S Suite 6 South Ogden UT 84405-4509 Ph: (801) 621-5385 | St. John Therapeutic Services Inc. 555 E 5300 S Suite 6 South Ogden UT 84405-4509 Ph: (801) 621-5385 |
| NPI Number | 1104078229 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104078229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1437121357 (Utah) | Primary |
| 101YM0800X | Counselor - Mental Health | 264211-3501 (Utah) | Secondary |
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