Provider Demographics
NPI:1952861841
Name:AUTHEMENT ACHESON, BILLIE JENE (ACMHC)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:JENE
Last Name:AUTHEMENT ACHESON
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 S 400 E STE 404
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-7065
Mailing Address - Country:US
Mailing Address - Phone:435-656-8918
Mailing Address - Fax:435-656-8917
Practice Address - Street 1:620 S 400 E STE 404
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-7065
Practice Address - Country:US
Practice Address - Phone:435-656-8918
Practice Address - Fax:435-656-8917
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9570649-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health