MEDICARE: JOEL STANLEY HUFF 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	9820870-6009	UT

General Provider Information

NPI Number	:	1114622263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL STANLEY HUFF CMHC

Provider Business Mailing Address
First Line	:	5284 S MORNING MESA CIR
Second Line	:
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84123-4817
Country	:	US
Telephone Number	:	773-679-4101
Fax Number	:

Provider Business Practice Location Address
First Line	:	2605 E 3300 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-2728
Country	:	US
Telephone Number	:	801-930-0423
Fax Number	:

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

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	03/30/2023

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