Organization
JACQUEZ COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB JACQUEZ LCSW (OWNER)
(385) 800-3270
Entity
Organization
Contact information
Practice address
5814 S 900 E, MURRAY, UT 84121-1644
(385) 800-3270
(385) 800-3260
Mailing address
5814 S 900 E, MURRAY, UT 84121-1644
(385) 800-3270
(385) 800-3260
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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