Individual
STACY KAY SCADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
237 26TH STREET, OGDEN, UT 84401-3105
(801) 625-3605
(801) 625-3615
Mailing address
237 26TH STREET, OGDEN, UT 84401-3105
(801) 625-3605
(801) 625-3615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5687843-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260022408
RAILROAD MEDICARE
—
05
—
876000308007
—
UT
Enumeration date
10/06/2006
Last updated
02/02/2016
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