Anthony Jerome Christophe | Cottonwood Heights, UT • PECOS Search

Anthony Jerome Christophe

Social Worker

Behavioral Health & Social Service Providers

2450 E Ft Union Blvd, Cottonwood Heights, UT 84121-3337

(801) 428-3402 (801) 322-1001

PECOS Enrollment

Based on the most recent information from CMS, provider Anthony Jerome Christophe does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1619297827
Provider Type
Individual
Full Name
Christophe, Anthony Jerome
Title
Mr.
Credential
THERAPIST

Gender
Male
Sole Proprietor
No
Enumeration Date
6/10/2010
Last Updated
2/2/2022

Contact Information

Practice Location

2450 E Ft Union Blvd, Cottonwood Heights, UT 84121-3337

Unlisted Fax

Mailing Location

68 S 600 E, Salt Lake City, UT 84102-1007

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 10836743-3502 Utah