Individual
MS. JESSICA LYN COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
802 W 100 S, HURRICANE, UT 84737-3229
(435) 319-0889
Mailing address
802 W 100 S, HURRICANE, UT 84737-3229
(801) 759-8558
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11079157-3502
UT
101YP2500X
Professional Counselor
Primary
11079157
UT
172V00000X
Community Health Worker
165617091
UT
Other
Enumeration date
01/03/2013
Last updated
11/30/2022
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