MEDICARE: JENNIFER MILLAR BEVAN JENNIFER BEVAN CMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	376133-6004	UT

General Provider Information

NPI Number	:	1215252028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MILLAR BEVAN JENNIFER BEVAN CMHC

Provider Business Mailing Address
First Line	:	4527 S 2300 E
Second Line	:	SUITE 206
City	:	HOLLADAY
State	:	UT
Zip	:	84117-4446
Country	:	US
Telephone Number	:	801-272-0762
Fax Number	:	801-274-3411

Provider Business Practice Location Address
First Line	:	4527 S 2300 E
Second Line	:	SUITE 206
City	:	HOLLADAY
State	:	UT
Zip	:	84117-4446
Country	:	US
Telephone Number	:	801-272-0762
Fax Number	:	801-274-3411

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2010
Last Update Date	:	10/28/2013

Similar Medicare Providers

1437185634 — NANCY LEIGH STODDARD LCSW, RPT
Practice Location Address:

4527 S 2300 E , STE 206
SALT LAKE CITY, UT
84117-4446

Practice Phone: 801-859-2194
Practice Fax: 801-274-3411

1235694589 — ALINA OLSEN SCHMELZER LCSW
Practice Location Address:

4527 S 2300 E STE 206
SALT LAKE CITY, UT
84117-4446

Practice Phone: 801-609-8351
Practice Fax:

1598991473 — SKEZICS CORPORATION
Practice Location Address:

4766 S HOLLADAY BLVD
HOLLADAY, UT
84117-5486

Practice Phone: 480-216-0071
Practice Fax: 888-777-3260

1487504908 — BRUCE G EVANS MD PC
Practice Location Address:

4624 S HOLLADAY BLVD STE 202
SALT LAKE CITY, UT
84117-7168

Practice Phone: 801-406-9601
Practice Fax:

1295735728 — DR. JAYNE ELIZABETH CLARK M.D.
Practice Location Address:

2180 E 4500 S , SUITE #185
HOLLADAY, UT
84117-4434

Practice Phone: 801-272-6972
Practice Fax: 801-272-6953

1205820693 — DR. RICHARD B GREMILLION MD
Practice Location Address:

999 E MURRAY HOLLADAY RD STE 207
MILLCREEK, UT
84117-5093

Practice Phone: 801-965-3600
Practice Fax:

Directions to “ JENNIFER MILLAR BEVAN JENNIFER BEVAN CMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.