Individual
MR. JEREMIAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
51 E 800 N, SPANISH FORK, UT 84660-1210
(962) 343-5314
Mailing address
1991 LAGUNA VISTA DR, OREM, UT 84058-7545
(435) 229-4690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10118675-3502
UT
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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