Individual
MS. JILL ANN TRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1755 N 400 E, SUITE 103, LOGAN, UT 84341-1954
(435) 760-6721
(435) 752-0303
Mailing address
1755 N 400 E, SUITE 103, LOGAN, UT 84341-1954
(435) 760-6721
(435) 752-0303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
133958-3501
UT
Other
Enumeration date
03/01/2007
Last updated
05/29/2009
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