| Jenna Shirley Counseling | |
|
1290 S 500 W Ste 300 Woods Cross UT 84010-8104 | |
| (801) 734-0581 | |
| Not Available |
| Full Name | Jenna Shirley Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1290 S 500 W Ste 300, Woods Cross, Utah |
| Authorized Official Name and Position | Jenna Shirley (OWNER) |
| Authorized Official Contact | 8017340581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Shirley Counseling 3983 S 855 E Millcreek UT 84107-2366 Ph: (801) 734-0581 | Jenna Shirley Counseling 1290 S 500 W Ste 300 Woods Cross UT 84010-8104 Ph: (801) 734-0581 |
| NPI Number | 1376116764 |
|---|---|
| Provider Enumeration Date | 07/22/2021 |
| Last Update Date | 07/22/2021 |
| Certification Date | 07/22/2021 |
| Medicare PECOS PAC ID | 6901203090 |
|---|---|
| Medicare Enrollment ID | O20210915003392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376116764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jenna Lee Shirley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548568371 PECOS PAC ID: 8729485826 Enrollment ID: I20210915003477 |
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