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Mark Maness

Counselor, Addiction (Substance Use Disorder) in West Valley, UT. Individual provider (NPI-1).

NPI number1356919682
StatusActive
Last updated in NPPESJun 14, 2021

Details

NPI
1356919682
Entity type
Individual (NPI-1)
Name
Mark Maness
Sex
Male
Sole proprietor
No
Enumeration date
Jun 14, 2021
Certification date
Jun 14, 2021
Last updated
Jun 14, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

3539 S Byde A Wyle Rd
West Valley, UT 84119-3902

Phone 801-550-3451

Mailing address

3539 S Byde A Wyle Rd
West Valley, UT 84119-3902

Phone 801-550-3451

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