| Brysen Bocchino, CMHC | |
|
5770 S 1500 W, Taylorsville, UT 84123-5216 | |
| (801) 313-7770 | |
| (801) 313-7771 |
| Full Name | Brysen Bocchino |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 5770 S 1500 W, Taylorsville, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649803008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11605755-6004 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Brysen Bocchino, CMHC Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 313-7770 | Brysen Bocchino, CMHC 5770 S 1500 W, Taylorsville, UT 84123-5216 Ph: (801) 313-7770 |
Jenessa Crowton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Jennifer Lutz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604 | |
Valerie Hart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-255-5131 | |
Cheyenne Nicholas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Catharine Jurek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Melissa Lamph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604 | |
Joey Malula, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 |