| Alycia Erika Jurgela, LPC | |
|
331 W 2700 S, South Salt Lake, UT 84115-2904 | |
| (801) 487-3276 | |
| Not Available |
| Full Name | Alycia Erika Jurgela |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 331 W 2700 S, South Salt Lake, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386945095 | NPI | - | NPPES |
| 11324 | Other | MA | MENTAL HEALTH LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Utah) | Primary |
| Entity Name | Sagamore Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952943284 PECOS PAC ID: 2062855265 Enrollment ID: O20240205002271 |
| Mailing Address | Practice Location Address |
|---|---|
| Alycia Erika Jurgela, LPC 1370 S West Temple, Salt Lake City, UT 84115-5218 Ph: (801) 678-3317 | Alycia Erika Jurgela, LPC 331 W 2700 S, South Salt Lake, UT 84115-2904 Ph: (801) 487-3276 |
Stephanie Sonntag, Counselor Medicare: Not Enrolled in Medicare Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846 | |
George (trey) Tanner Nicholson Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 177 W Price Ave, South Salt Lake, UT 84115 Phone: 385-467-4548 | |
Amy Miner, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 965 W Little River Way Unit 3, South Salt Lake, UT 84119 Phone: 801-915-2898 | |
Caprice Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846 | |
Diana Lynn Lehwalder, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 S State St, South Salt Lake, UT 84115 Phone: 385-646-2118 | |
Tamara Middleton, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3195 S Main St Ste 180, South Salt Lake, UT 84115 Phone: 801-983-5540 Fax: 801-983-5542 | |
Chelsea Travis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3502 S 335 E, South Salt Lake, UT 84115 Phone: 801-699-4359 |