Julian Moon, | |
1433 N 1200 W, Orem, UT 84057-2449 | |
(801) 655-5450 | |
(385) 225-9327 |
Full Name | Julian Moon |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1433 N 1200 W, Orem, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265996300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0021918 (Colorado) | Primary |
Entity Name | Family Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960 |
Mailing Address | Practice Location Address |
---|---|
Julian Moon, 447 W Bearcat Dr, Salt Lake City, UT 84115-2519 Ph: (801) 355-2846 | Julian Moon, 1433 N 1200 W, Orem, UT 84057-2449 Ph: (801) 655-5450 |
Jonathan Christopher Myers, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1177 S 800 E, Orem, UT 84097 Phone: 385-406-2240 | |
Amanda Nicole Stevens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1790 N State St, Orem, UT 84057 Phone: 888-224-8250 Fax: 801-224-8301 | |
Mr. Joseph Darren Allred, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 N 1200 W, Orem, UT 84057 Phone: 801-229-1181 | |
Abraham Hudson, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 853 W Center St, Orem, UT 84057 Phone: 801-358-4463 | |
Archie Dee Egbert, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 E 1200 S, Orem, UT 84058 Phone: 801-921-1200 | |
Carlene A Crane, MS, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 N 1330 W Ste A1, Orem, UT 84057 Phone: 801-960-3040 | |
Sabra Mary Dixon, LSUDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 591 W 800 N, Orem, UT 84057 Phone: 801-427-9726 |