| Bryant Devaughn Jenks, MFT | |
|
750 North 200 West, Provo, UT 84601 | |
| (801) 373-4760 | |
| (801) 373-0639 |
| Full Name | Bryant Devaughn Jenks |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 750 North 200 West, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548363864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 3101303902 (Utah) | Primary |
| Entity Name | Wasatch Behavioral Health Special Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryant Devaughn Jenks, MFT 750 North 200 West, Provo, UT 84601 Ph: (801) 373-4760 | Bryant Devaughn Jenks, MFT 750 North 200 West, Provo, UT 84601 Ph: (801) 373-4760 |
Mr. Timothy John Cregor, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3355 N. University Ave., Ste. 250, Provo, UT 84604 Phone: 559-789-2503 Fax: 801-503-9833 |
Dr. Shayne Anderson, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 262 Taylor Building, Brigham Young University, Provo, UT 84602 Phone: 801-422-6416 |
Emma Elizabeth Allen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 491 N Freedom Blvd, Provo, UT 84601 Phone: 801-960-2116 |
Mr. Mark J Mauzy, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 755 S 400 W, Provo, UT 84601 Phone: 801-422-7620 |
Taylor Madsen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3549 N University Ave Ste 200, Provo, UT 84604 Phone: 385-448-0310 |
Tabitha Nicole Webster, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 |
Christine Amanda Gore, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 491 N Freedom Blvd, Provo, UT 84601 Phone: 801-960-2116 |