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Individual

MR. JARROD TODD HOCKENBURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S. L.S.A.C.

Contact information

Practice address
179 N 2900 E, ST GEORGE, UT 84790-6415
(435) 229-1156
Mailing address
179 N 2900 E, ST GEORGE, UT 84790-6415
(435) 229-1156

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7228748-6006
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7228748-6006
STATE LICENSE SUBSTANCE ABUSE COUNSELOR
UT
Enumeration date
02/03/2011
Last updated
02/03/2011
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