Organization
MOVING FORWARD COUNSELING
Active
Other names
Moving Forward Counseling, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ROBERT WAGNER CMHC (OWNER)
(801) 243-2928
Entity
Organization
Contact information
Practice address
9844 S 1300 E STE 250, SANDY, UT 84094-4691
(801) 810-5037
(801) 609-3649
Mailing address
9844 S 1300 E STE 250, SANDY, UT 84094-4691
(801) 810-5037
(801) 609-3649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
04/07/2020
Last updated
12/10/2024
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