| Ty Jensen, ASUDC | |
|
3570 S West Temple, South Salt Lake, UT 84115-4408 | |
| (801) 533-0070 | |
| Not Available |
| Full Name | Ty Jensen |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3570 S West Temple, South Salt Lake, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134091283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13440516-6008 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ty Jensen, ASUDC 3570 S West Temple, South Salt Lake, UT 84115-4408 Ph: () - | Ty Jensen, ASUDC 3570 S West Temple, South Salt Lake, UT 84115-4408 Ph: (801) 533-0070 |
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 |