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Individual

JEREMY BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
5698 W GLEN EAGLE DR, WEST VALLEY CITY, UT 84128-4013
(801) 917-5457
Mailing address
4559 S LYNN RIDGE LN, WEST VALLEY CITY, UT 84128-5641
(801) 856-8387

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10666702-3902
UT

Other

Enumeration date
01/30/2017
Last updated
05/19/2024
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