Individual
JENNIFER RAPP SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC
Contact information
Practice address
1390 S 1100 E, SUITE 201A, SALT LAKE CITY, UT 84105-2461
(801) 673-9249
Mailing address
2223 E 6630 S, SALT LAKE CITY, UT 84121-2642
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7129989-6004
UT
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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