MEDICARE: OPEN BOOK COUNSELING PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TC1900X	Counseling Psychologist
2	133V00000X	Registered Dietitian
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1154162030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN BOOK COUNSELING PLLC

Provider Business Mailing Address
First Line	:	949 E 12400 S STE A2
Second Line	:
City	:	DRAPER
State	:	UT
Zip	:	84020-9333
Country	:	US
Telephone Number	:	801-821-8176
Fax Number	:

Provider Business Practice Location Address
First Line	:	949 E 12400 S STE A2
Second Line	:
City	:	DRAPER
State	:	UT
Zip	:	84020-9333
Country	:	US
Telephone Number	:	801-821-8176
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SCOTT FRAZIER
Credential	:	CMHC
Telephone Number	:	801-821-8176

Provider Enumeration Date	:	06/04/2024
Last Update Date	:	10/23/2024

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Directions to “OPEN BOOK COUNSELING PLLC ” Practice Location

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