MEDICARE: RMC COUNSELING

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	:	1609416254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RMC COUNSELING

Provider Business Mailing Address
First Line	:	155 E 900 S STE 11
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-4229
Country	:	US
Telephone Number	:	773-616-7389
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 E 900 S STE 111213
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-4229
Country	:	US
Telephone Number	:	773-616-7389
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	REBECCA MIKVA COHEN
Credential	:	LCSW
Telephone Number	:	385-275-5821

Provider Enumeration Date	:	01/12/2020
Last Update Date	:	01/17/2020

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