Organization
MOUNTAINSIDE NEUROTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN JACOBSON (OWNER)
(801) 833-7536
Entity
Organization
Contact information
Practice address
1133 N MAIN ST STE 202, LAYTON, UT 84041-4873
(801) 833-7536
Mailing address
1133 N MAIN ST STE 400, LAYTON, UT 84041-4800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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