| Karen Coulam, Msw, Lcsw, Counseling Services | |
|
96 N 500 W Bountiful UT 84010-7078 | |
| (801) 692-7292 | |
| Not Available |
| Full Name | Karen Coulam, Msw, Lcsw, Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 96 N 500 W, Bountiful, Utah |
| Authorized Official Name and Position | Karen C Coulam (CO OWNER/THERAPIST) |
| Authorized Official Contact | 8016632195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Coulam, Msw, Lcsw, Counseling Services 460 N 1250 E Bountiful UT 84010-2700 Ph: (801) 663-2195 | Karen Coulam, Msw, Lcsw, Counseling Services 96 N 500 W Bountiful UT 84010-7078 Ph: (801) 692-7292 |
| NPI Number | 1811505357 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 07/21/2020 |
| Certification Date | 07/21/2020 |
| Medicare PECOS PAC ID | 2062838816 |
|---|---|
| Medicare Enrollment ID | O20200811003642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811505357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Karen C Coulam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760763676 PECOS PAC ID: 7012262900 Enrollment ID: I20180618001413 |
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