Individual
JOANNA LESLIE JURACAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
451 E 1000 S, PLEASANT GROVE, UT 84062-3700
(801) 623-1298
Mailing address
451 E 1000 S, PLEASANT GROVE, UT 84062-3700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9531763-6004
UT
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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