Individual
JESSIE LEE AMPUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
870 E 9400 S STE 100, SANDY, UT 84094-3677
(801) 252-5036
Mailing address
870 E 9400 S STE 100, SANDY, UT 84094-3677
(801) 252-5036
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
UT
Other
Enumeration date
08/03/2018
Last updated
01/30/2023
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