| Keystone Family Counseling, Pllc | |
|
1172 E 100 N Suite 8 Payson UT 84651-1667 | |
| (801) 380-9305 | |
| Not Available |
| Full Name | Keystone Family Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1172 E 100 N, Payson, Utah |
| Authorized Official Name and Position | Robert Clegg (OWNER) |
| Authorized Official Contact | 8013809305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Family Counseling, Pllc 1172 E 100 N Suite 8 Payson UT 84651-1667 Ph: (801) 380-9305 | Keystone Family Counseling, Pllc 1172 E 100 N Suite 8 Payson UT 84651-1667 Ph: (801) 380-9305 |
| NPI Number | 1194271601 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 12/08/2016 |
| Medicare PECOS PAC ID | 8224317581 |
|---|---|
| Medicare Enrollment ID | O20161109002670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194271601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7442576-3501 (Utah) | Primary |
| Provider Name | Robert B Clegg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023284262 PECOS PAC ID: 3678852936 Enrollment ID: I20161109002752 |
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