Individual
JENNIFER RUTH WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 N 200 E STE 302, ST GEORGE, UT 84770-5019
(435) 922-2750
(435) 922-2759
Mailing address
1624 REDSTONE WAY, ST GEORGE, UT 84790-8590
(435) 633-5368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
UT
101YM0800X
Mental Health Counselor
—
UT
171M00000X
Case Manager/Care Coordinator
Primary
ACM-00279
UT
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/18/2022
Last updated
08/10/2022
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