| Shanquette Prophet, CSW | |
|
5131 S 1500 W, Riverdale, UT 84405-3926 | |
| (706) 305-5439 | |
| Not Available |
| Full Name | Shanquette Prophet |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5131 S 1500 W, Riverdale, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750148151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 13438834-3502 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shanquette Prophet, CSW 232 40th St, South Ogden, UT 84405-2711 Ph: (706) 305-5439 | Shanquette Prophet, CSW 5131 S 1500 W, Riverdale, UT 84405-3926 Ph: (706) 305-5439 |
Julie Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5202 Freeway Park Dr, Riverdale, UT 84405 Phone: 801-255-5131 | |
Beau Ballard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5202 Freeway Park Dr, Riverdale, UT 84405 Phone: 801-255-5131 | |
Jenessa Kayser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5202 Freeway Park Dr, Riverdale, UT 84405 Phone: 801-255-5131 Fax: 801-255-5131 | |
Lorenzo Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5202 Freeway Park Dr, Riverdale, UT 84405 Phone: 801-255-5131 | |
Jace Colby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5202 Freeway Park Dr, Riverdale, UT 84405 Phone: 801-255-5131 | |
Amber Gentry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5202 Freeway Park Dr, Riverdale, UT 84405 Phone: 801-255-5131 | |
Greg Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5202 Freeway Park Dr, Riverdale, UT 84405 Phone: 801-255-5131 |