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NPI Code Detail

MEDICARE: CLEAR VIEW COUNSELING

MEDICARE: CLEAR VIEW 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
1251S00000XCommunity/Behavioral Health Agency5153757-6004UT

General Provider Information

NPI Number : 1639364847
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEAR VIEW COUNSELING
Provider Business Mailing Address
First Line : 2416 SEGO LILY DR
Second Line :
City : SANDY
State : UT
Zip : 84092-4435
Country : US
Telephone Number : 801-201-8571
Fax Number : 801-272-9976
Provider Business Practice Location Address
First Line : 5800 HIGHLAND DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-1359
Country : US
Telephone Number : 801-272-9980
Fax Number : 801-272-9976
Authorized Official
Title or Position : OWNER
Name : MS. STACY MCKENZIE
Credential : LPC
Telephone Number : 801-201-8571
Provider Enumeration Date : 09/11/2007
Last Update Date : 06/17/2008

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Directions to “CLEAR VIEW COUNSELING ” Practice Location

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