| Jordan Valley Counseling Clinic | |
|
9528 Caledonia Cir South Jordan UT 84095-9701 | |
| (801) 282-1374 | |
| (801) 280-8225 |
| Full Name | Jordan Valley Counseling Clinic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9528 Caledonia Cir, South Jordan, Utah |
| Authorized Official Name and Position | Veon Smith (OWNER / PARTNER) |
| Authorized Official Contact | 8012821374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Valley Counseling Clinic 9528 Caledonia Cir South Jordan UT 84095-9701 Ph: (801) 282-1374 | Jordan Valley Counseling Clinic 9528 Caledonia Cir South Jordan UT 84095-9701 Ph: (801) 282-1374 |
| NPI Number | 1487921722 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487921722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1012653501 (Utah) | Primary |
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