Individual
JAMIE LEA HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
825 N 300 W, N221, SALT LAKE CITY, UT 84103-1459
(801) 824-0827
(801) 823-4584
Mailing address
825 N 300 W, SUITE N221, SALT LAKE CITY, UT 84103-1459
(801) 824-0827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6619461-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00023954
—
UT
Enumeration date
07/21/2010
Last updated
12/10/2021
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