Organization
JENNIFER SQUIRE PC
Active
Other names
Center for Christian Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SQUIRE (PRESIDENT)
(801) 808-2410
Entity
Organization
Contact information
Practice address
7084 S 2300 E STE 140, BMFORM,BMFORMID,BMUID,BMISFORM,BMPREVTEMPLATE,BMTEXT,BM, SALT LAKE CITY, UT 84121-3969
(801) 808-2410
Mailing address
7084 S 2300 E STE 140, SALT LAKE CITY, UT 84121-3969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
353202-3501
UT
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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