Individual
CHEYENNE MIKELLE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8809855-3502
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055266
MEDICARE PIN
UT
01
—
2600228
RAILROAD MEDICARE
UT
05
—
8760003008007
—
UT
Enumeration date
11/07/2018
Last updated
11/07/2018
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