Organization
LIFE CHOICES COUNSELING & SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYDNEY R JEFFRIES LCSW (OWNER/THERAPIST)
(801) 755-2122
Entity
Organization
Contact information
Practice address
406 N MAIN ST, BOUNTIFUL, UT 84010-6035
(801) 755-2122
(801) 292-0268
Mailing address
406 N MAIN ST, BOUNTIFUL, UT 84010-6035
(801) 755-2122
(801) 292-0268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112679-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11267935000001
BCBS OF UTAH
UT
Enumeration date
08/19/2006
Last updated
08/22/2020
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