Eileen Jacobson
Individual provider Active NPI Marriage & Family Therapist · Mapleton, UT
NPI 1700278389 · NPPES record last updated Feb 19, 2015
Key facts
- NPI
- 1700278389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1171043902 (UT)
- Practice address
- 735 E 1400 N
Mapleton, UT 84664-3850 - Phone
- (801) 367-5222
- NPI assigned
- Feb 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1171043902 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finding Focus Center Inc | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1171043902 | UT | Yes |
Addresses
Primary practice location
735 E 1400 N
Mapleton, UT 84664-3850
Mailing address
735 E 1400 N
Mapleton, UT 84664-3850
Phone (801) 367-5222
Other providers in Mapleton, UT
- Eric Morgan Hanson
- HD Fitness Solutions LLC
- Healing Pains
- Healthwise Pharmacy Inc
- Ryan Daniel Hone
- Landon Otto Jarvies
- Joshua Richard Jensen
- Michael Johnson
- Zachary Troy Johnson
- Camille Jorgensen
All providers in Mapleton, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2015. 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.