# JENNIFER SQUIRE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Christian Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154699296
- **Authorized official:** JENNIFER SQUIRE (PRESIDENT)
- **Authorized official phone:** (801) 808-2410

## Contact information

- **Practice address:** 7084 S 2300 E STE 140, BMFORM,BMFORMID,BMUID,BMISFORM,BMPREVTEMPLATE,BMTEXT,BM, SALT LAKE CITY, UT 84121-3969
- **Practice address phone:** (801) 808-2410
- **Mailing address:** 7084 S 2300 E STE 140, SALT LAKE CITY, UT 84121-3969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 353202-3501 | UT | Yes |

## Other

- **Enumeration date:** 12/05/2011
- **Last updated:** 12/05/2011