Individual
AMY DEFOREST EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
JEWISH FAMILY SERVICE, 1111 E BRICKYARD RD, SUITE 218, SLC, UT 84106
(801) 746-4334
(801) 746-4337
Mailing address
939 E 1700 S, SALT LAKE CITY, UT 84105-3328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9045126-6009
UT
Other
Enumeration date
07/02/2014
Last updated
05/17/2023
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