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Organization

HOLDING SPACE COUNSELING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA BLACK CMHC (CLINICAL MENTAL HEALTH COUNSELOR)
(801) 209-1212
Entity
Organization

Contact information

Practice address
1576 S 500 W, WOODS CROSS, UT 84010-7433
(801) 209-1212
Mailing address
5398 S 1345 W, RIVERDALE, UT 84405-4000
(801) 209-1212

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/11/2026
Last updated
02/11/2026
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