Individual
JENNIFER MILLAR BEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
JENNIFER BEVAN CMHC
Contact information
Practice address
4527 S 2300 E, SUITE 206, HOLLADAY, UT 84117-4446
(801) 272-0762
(801) 274-3411
Mailing address
4527 S 2300 E, SUITE 206, HOLLADAY, UT 84117-4446
(801) 272-0762
(801) 274-3411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
376133-6004
UT
Other
Enumeration date
04/05/2010
Last updated
10/28/2013
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