# JESSICA GEORGIO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1023668381
- **Gender:** F
- **Credential:** AMFT, LASUDC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 10950021-6008 | UT | — |
| 106H00000X | Marriage & Family Therapist | 10950021-3902 | UT | Yes |
| 106H00000X | Marriage & Family Therapist | 10950021-3904 | UT | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |

## Other

- **Enumeration date:** 09/18/2019
- **Last updated:** 09/11/2026