Provider Demographics
NPI:1003997701
Name:ASSESSMENT, COUNSELING & EDUCATIONAL SERVICES
Entity type:Organization
Organization Name:ASSESSMENT, COUNSELING & EDUCATIONAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-265-8000
Mailing Address - Street 1:547 W 3900 S STE F
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-7134
Mailing Address - Country:US
Mailing Address - Phone:801-265-8000
Mailing Address - Fax:801-265-8004
Practice Address - Street 1:547 W 3900 S STE F
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84123-7134
Practice Address - Country:US
Practice Address - Phone:801-265-8000
Practice Address - Fax:801-265-8004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTNP1705261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder