| Salt Lake Counseling And Coaching, Pllc | |
|
60 S 600 E Ste 100 Salt Lake City UT 84102-1028 | |
| (602) 614-0751 | |
| Not Available |
| Full Name | Salt Lake Counseling And Coaching, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 60 S 600 E Ste 100, Salt Lake City, Utah |
| Authorized Official Name and Position | Janelle Spink (OWNER/THERAPIST) |
| Authorized Official Contact | 6026140751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Lake Counseling And Coaching, Pllc 60 S 600 E Ste 100 Salt Lake City UT 84102-1028 Ph: (602) 614-0751 | Salt Lake Counseling And Coaching, Pllc 60 S 600 E Ste 100 Salt Lake City UT 84102-1028 Ph: (602) 614-0751 |
| NPI Number | 1518466465 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/09/2023 |
| Medicare PECOS PAC ID | 9537420054 |
|---|---|
| Medicare Enrollment ID | O20180226001515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518466465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 8538624-3501 (Utah) | Primary |
| Provider Name | Janelle Marie Spink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902236565 PECOS PAC ID: 0345501862 Enrollment ID: I20180320001788 |
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