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Organization
JACKIE Z ROCK LLC
Active
Organization
JACKIE Z ROCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE Z ROCK LCMHC (MENTAL HEALTH COUNSELOR)
(801) 448-7811
Entity
Organization
Contact information
Practice address
123 E MAIN ST, SANDY, UT 84070-1509
(801) 448-7811
Mailing address
123 E MAIN ST, SANDY, UT 84070-1509
(801) 448-7811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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