Individual
JINNA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
175 S MAIN ST STE 840, SALT LAKE CITY, UT 84111-1924
(385) 831-0200
Mailing address
175 S MAIN ST STE 840, SALT LAKE CITY, UT 84111-1924
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/07/2012
Last updated
03/08/2021
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