Tessa Brown
Individual provider Active NPI Counselor · Clearfield, UT
NPI 1932565629 · NPPES record last updated Jan 11, 2016
Key facts
- NPI
- 1932565629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 446 E 450 S
Clearfield, UT 84015-1736 - Phone
- (801) 779-2253
- Fax
- (801) 525-6415
- NPI assigned
- Jan 11, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Health Associates, Inc | Past | Accepting new patients | |
| Youth Health Associates, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
446 E 450 S
Clearfield, UT 84015-1736
Mailing address
446 E 450 S
Clearfield, UT 84015-1736
Phone (801) 779-2253
Other providers in Clearfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2016. 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.