Organization
MACKAY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM ROSS MACKAY LCSW (MANAGER)
(801) 414-5894
Entity
Organization
Contact information
Practice address
582 RIGBY RD, FARMINGTON, UT 84025-4404
(801) 414-5894
(801) 451-5073
Mailing address
582 RIGBY RD, FARMINGTON, UT 84025-4404
(801) 414-5894
(801) 451-5073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3289473501
UT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
3289473501
UT
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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