Individual
JACLYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., ACMHC
Contact information
Practice address
344 E 100 S, STE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
607 S PARK ST APT 9, SALT LAKE CITY, UT 84102-3365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9216139-6009
UT
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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