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MRS. DEBBIE JO ADAMS SSW

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1043516966

Individual Registrant:
MRS. DEBBIE JO ADAMS SSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5965 S 900 E  SALT LAKE CITY, UT 84121-1720 US
Tel: 801-263-7100  Fax: 801-273-6363

Contact information for business:
55 S. 500 E.  HEBER, UT 84032 US
Tel: 435-654-3003  Fax: 801-654-0309

Registration Information:
NPI: 1043516966
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
UT130294-3503
N104100000XBehavioral Health & Social Service Providers
Social Worker
UT130294-3503

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1043516966UT05




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