Individual
JESSICA GEORGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT, LASUDC
Contact information
Practice address
6975 UNION PARK AVE #621, COTTONWOOD HEIGHTS, UT 84047
(801) 477-7422
Mailing address
4516 S 700 E STE 360, MURRAY, UT 84107-8317
(385) 231-8387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10950021-6008
UT
106H00000X
Marriage & Family Therapist
Primary
10950021-3904
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/18/2019
Last updated
07/03/2025
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