Organization
KEYS TO RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN BECKER (OWNER)
(385) 437-0474
Entity
Organization
Contact information
Practice address
74 WEST MAIN ST, PRICE, UT 84501
(385) 437-0474
Mailing address
74 WEST MAIN ST, PRICE, UT 84501
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
225C00000X
Rehabilitation Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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