| Goat Path Counseling | |
|
663 W 100 S Suite B7 Salt Lake City UT 84104-1002 | |
| (801) 416-3123 | |
| Not Available |
| Full Name | Goat Path Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 663 W 100 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Jeannette Rodriguez-march (OWNER / CLINICIAN) |
| Authorized Official Contact | 8014148144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goat Path Counseling 663 W 100 S Suite B7 Salt Lake City UT 84104-1002 Ph: (801) 416-3123 | Goat Path Counseling 663 W 100 S Suite B7 Salt Lake City UT 84104-1002 Ph: (801) 416-3123 |
| NPI Number | 1033592530 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033592530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 49173766004 (Utah) | Primary |
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