MEDICARE: MARGARITA JACKIE ARTEAGA ALCANTARA 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

General Provider Information

NPI Number	:	1366264798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARITA JACKIE ARTEAGA ALCANTARA CMHC

Provider Business Mailing Address
First Line	:	4465 S 900 E STE 150
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84124-3944
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4465 S 900 E STE 150
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84124-3944
Country	:	US
Telephone Number	:	435-248-2089
Fax Number	:	801-207-5104

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

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	04/07/2026

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Directions to “ MARGARITA JACKIE ARTEAGA ALCANTARA CMHC” Practice Location

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