Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER CARLSON, CMCH MAC
Active Sole ProprietorJENNIFER CARLSON, CMCH MAC is a Substance Abuse Rehabilitation Facility healthcare provider located in SANDY, Utah. NPI 1508307083 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · SANDY, UT
Registration Details
- NPI Number
- 1508307083
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2017 (9.3688399366082 yrs)
- Last Updated
- Mar 16, 2017
- Licenses
-
8336873-6004 (UT)8336873-6004 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8375 SOUTH 700EASTSANDY, UT, 84070Browse UT providers · Browse ZIP 84070
- Phone
- 8015760745
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
- Additional Specialty
- Substance Abuse Rehabilitation Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.