Individual
JESSICA NOEL BERRY JAVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2095 E 4500 S, HOLLADAY, UT 84117-4319
(347) 759-2265
Mailing address
2095 E 4500 S, HOLLADAY, UT 84117-4319
(347) 759-2265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
96374843502
UT
Other
Enumeration date
12/06/2023
Last updated
02/24/2026
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