Individual
JILL MARCUSEN POULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8541 S REDWOOD RD STE C, WEST JORDAN, UT 84088-9327
(801) 878-4220
Mailing address
8541 S REDWOOD RD STE C, WEST JORDAN, UT 84088-9327
(801) 878-4220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13391853-6009
UT
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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