| Valiant Endeavors Counseling Services Llc | |
|
255 South State Street Office 8 Roosevelt UT 84066-2983 | |
| (435) 823-2367 | |
| Not Available |
| Full Name | Valiant Endeavors Counseling Services Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 255 South State Street Office 8, Roosevelt, Utah |
| Authorized Official Name and Position | Spencer G Donovan (OWNER/THERAPIST) |
| Authorized Official Contact | 4358232367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valiant Endeavors Counseling Services Llc 255 South State Street Office 8 Roosevelt UT 84066-2983 Ph: (435) 823-2367 | Valiant Endeavors Counseling Services Llc 255 South State Street Office 8 Roosevelt UT 84066-2983 Ph: (435) 823-2367 |
| NPI Number | 1144082280 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 3779921390 |
|---|---|
| Medicare Enrollment ID | O20240402002339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144082280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Spencer Donovan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316318918 PECOS PAC ID: 8224476858 Enrollment ID: I20240402002486 |
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