Individual
JESSICA DAWN JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2065 SIDEWINDER DR, STE. 102, PARK CITY, UT 84060-7216
(801) 633-6094
Mailing address
PO BOX 259, MIDWAY, UT 84049-0259
(801) 633-6094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7091340-6004
UT
Other
Enumeration date
11/11/2011
Last updated
12/14/2021
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