Mackay, Adam Ross

Mackay, Adam Ross is an individual health care provider with primary practice located at 447 N 300 W Ste 7 , Kaysville UT 84037-4203. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mackay, Adam Ross can be contacted via phone (801) 414-5894.

Contact Information

Primary practice address
447 N 300 W Ste 7 Kaysville UT 84037-4203
Phone: (801) 414-5894
Fax: (801) 451-5073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 328947-3501 Utah

Profile Details

NPI number 1457626723
LBN Legal business name Mackay, Adam Ross
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2012
Last updated Jul 6th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457626723 NPPES
Utah Other VC0000164309 VENDOR NUMBER WITH UTAH STATE OFFICE OF REHABILITATION

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