Doctor Name: | MR. MARK JAMES CAPELL |
NPI Number: | 1003934001 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 140095-3501 |
Business Practice Address: | 313 E 1200 S Suite 104 Orem, UT - 840586972 |
Business Phone Number: | 8013771595 |
Business Fax Number: | 8013771598 |
Mailing Address: | 313 E 1200 S, Suite 104 OREM |
State: | UT |
Postal Code: | 840586972 |
Phone Number: | 8013771595 |
Fax Number: | 8013771598 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 140095-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |