Monique Chacon
Individual provider Active NPI Counselor · Murray, UT
NPI 1770913873 · NPPES record last updated Nov 26, 2013
Key facts
- NPI
- 1770913873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 5965 S 900 E
Murray, UT 84121-1720 - Phone
- (801) 263-7138
- NPI assigned
- Nov 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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
5965 S 900 E
Murray, UT 84121-1720
Mailing address
4600 S 2850 W Apt 201
West Valley, UT 84119-6368
Phone (801) 649-8314
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2013. 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.