Individual
MRS. JENNIFER POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LSUDC
Contact information
Practice address
1412 S LEGEND HILLS DR STE 334, CLEARFIELD, UT 84015-1592
(801) 608-9966
Mailing address
131 E 2600 S, CLEARFIELD, UT 84015-1951
(801) 608-9966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
8139526-6006
UT
1041C0700X
Clinical Social Worker
Primary
8139526-3501
UT
1041C0700X
Clinical Social Worker
8139526-3506
UT
Other
Enumeration date
02/25/2011
Last updated
03/26/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us