Individual
CY JEDD AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4190 S HIGHLAND DR STE 113, SALT LAKE CITY, UT 84124-2673
(385) 899-2251
Mailing address
2120 S HIGHLAND DR APT 604, SALT LAKE CITY, UT 84106-3579
(801) 664-5681
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14231564-6009
UT
Other
Enumeration date
08/04/2025
Last updated
10/10/2025
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