MEDICARE: JOYCE A KELEN COUNSELING & CONSULTING INC

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	251S00000X	Community/Behavioral Health Agency	119968-3501	UT

General Provider Information

NPI Number	:	1912140849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYCE A KELEN COUNSELING & CONSULTING INC

Provider Business Mailing Address
First Line	:	265 E 100 S STE 275
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-1649
Country	:	US
Telephone Number	:	801-537-7523
Fax Number	:	801-350-9582

Provider Business Practice Location Address
First Line	:	265 E 100 S STE 275
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-1649
Country	:	US
Telephone Number	:	801-537-7523
Fax Number	:	801-350-9582

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	DR. JOYCE ARLENE KELEN
Credential	:	DSW, LCSW
Telephone Number	:	801-537-7523

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	06/09/2021

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