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NPI Code Detail

MEDICARE: MS. ASHLEY A ECKMAN

MEDICARE: MS. ASHLEY A ECKMAN
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 Counselor12868086-6009UT

General Provider Information

NPI Number : 1164051074
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHLEY A ECKMAN
Provider Business Mailing Address
First Line : 2450 E FORT UNION BLVD
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84121-3337
Country : US
Telephone Number : 801-669-5888
Fax Number :
Provider Business Practice Location Address
First Line : 2450 E FORT UNION BLVD
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84121-3337
Country : US
Telephone Number : 801-669-5888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2020
Last Update Date : 05/25/2023

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Directions to “ MS. ASHLEY A ECKMAN ” Practice Location

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