Provider Demographics
NPI:1316904873
Name:WEST COUNSELING OFFICES
Entity type:Organization
Organization Name:WEST COUNSELING OFFICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SODERQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-964-2465
Mailing Address - Street 1:2880 W 4700 S
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84118-2156
Mailing Address - Country:US
Mailing Address - Phone:801-964-2465
Mailing Address - Fax:801-964-9075
Practice Address - Street 1:2880 W 4700 S
Practice Address - Street 2:SUITE A
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84118-2156
Practice Address - Country:US
Practice Address - Phone:801-964-2465
Practice Address - Fax:801-964-9075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTDHS105541041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty