Organization
DEMERS MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN DEMERS APRN (OWNER/APRN)
(801) 597-5686
Entity
Organization
Contact information
Practice address
124 S 400 E STE 230, SALT LAKE CITY, UT 84111-5313
(801) 597-5686
(801) 595-0669
Mailing address
PO BOX 581333, SALT LAKE CITY, UT 84158-1333
(801) 597-5686
(801) 595-0669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2838734405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28387344002001
BCBS OF UTAH
UT
01
—
71546
PEHP
UT
Enumeration date
08/19/2006
Last updated
06/24/2010
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