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NPI Code Detail

MEDICARE: FAMILY COUNSELING SERVICE OF NORTHERN UTAH INC

MEDICARE: FAMILY COUNSELING SERVICE OF NORTHERN UTAH INC
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
1101YM0800XMental Health Counselor49619423501UT

General Provider Information

NPI Number : 1780014019
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY COUNSELING SERVICE OF NORTHERN UTAH INC
Provider Business Mailing Address
First Line : 3518 WASHINGTON BLVD
Second Line :
City : OGDEN
State : UT
Zip : 84403-1034
Country : US
Telephone Number : 801-399-1600
Fax Number : 801-399-1640
Provider Business Practice Location Address
First Line : 3518 WASHINGTON BLVD
Second Line :
City : OGDEN
State : UT
Zip : 84403-1034
Country : US
Telephone Number : 801-399-1600
Fax Number : 801-399-1640
Authorized Official
Title or Position : OFFICE MANAGER
Name : ALISHA D BYRON
Credential :
Telephone Number : 801-399-1600
Provider Enumeration Date : 11/22/2013
Last Update Date : 01/15/2020

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Directions to “FAMILY COUNSELING SERVICE OF NORTHERN UTAH INC ” Practice Location

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