Individual
MR. JEREMY LEE CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
Mailing address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
47819673501
UT
Other
Enumeration date
12/20/2005
Last updated
03/14/2023
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