Organization
MACKAY COUNSELING, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM ROSS MACKAY LCSW (SOCIAL WORKER)
(801) 414-5894
Entity
Organization
Contact information
Practice address
447 N 300 W STE 7, KAYSVILLE, UT 84037-4203
(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
251S00000X
Community/Behavioral Health Agency
Primary
3289473501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VC0000164309
VENDOR NUMBER TO PROVIDE SERVICES FOR VOCATIONAL REHABILITATION CLIENTS IN UTAH
UT
Enumeration date
04/23/2012
Last updated
07/28/2015
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