Barakat, Jamal Ahmed

Barakat, Jamal Ahmed is an sole proprietor health care provider with primary practice located at 4460 S Highland Dr , Salt Lake City UT 84124-3543. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Barakat, Jamal Ahmed can be contacted via phone (888) 949-4864.

Contact Information

Primary practice address
4460 S Highland Dr Salt Lake City UT 84124-3543
Phone: (888) 949-4864
Fax: (801) 415-7533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 325010-6004 Utah
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1912983446
LBN Legal business name Barakat, Jamal Ahmed
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Jan 6th, 2021 - about 4 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 1912983446 NPPES
Utah Other U006 IHC

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