Healthcare Provider Details

I. General information

NPI: 1669040069
Provider Name (Legal Business Name): JON VOIGT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 06/14/2021
Certification Date: 06/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 N 450 E
OREM UT
84097-4121
US

IV. Provider business mailing address

668 N 450 E
OREM UT
84097-4121
US

V. Phone/Fax

Practice location:
  • Phone: 801-367-8643
  • Fax:
Mailing address:
  • Phone: 801-367-8643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JONATHAN VOIGT
Title or Position: OWNER
Credential:
Phone: 801-367-8643