Justin Adams
Individual provider Active NPI Counselor · Draper, UT
NPI 1508261306 · NPPES record last updated Oct 23, 2014
Key facts
- NPI
- 1508261306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 13073 S Wheatfield Way
Draper, UT 84020-9253 - Phone
- (801) 495-0946
- NPI assigned
- Oct 23, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
13073 S Wheatfield Way
Draper, UT 84020-9253
Mailing address
13073 S Wheatfield Way
Draper, UT 84020-9253
Phone (801) 495-0946
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.