Individual
JASMINE CLUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 N MAIN ST STE 100, LAYTON, UT 84041-4868
(801) 882-7387
Mailing address
2642 N 500 E, NORTH OGDEN, UT 84414-2307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13977524-6009
UT
Other
Enumeration date
11/29/2025
Last updated
11/29/2025
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