# FAIRWAY COUNSELING SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427856426
- **Authorized official:** JASON SEEGMILLER LCSW (OWNER)
- **Authorized official phone:** (435) 773-7323

## Contact information

- **Practice address:** 475 N 300 W STE 8, KAYSVILLE, UT 84037-3112
- **Practice address phone:** (435) 773-7323
- **Mailing address:** 475 N 300 W STE 8, KAYSVILLE, UT 84037-3112
- **Mailing address phone:** (435) 773-7323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2025
- **Last updated:** 03/05/2025