Individual
JENNIFER K KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
(801) 778-6840
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3700
(801) 778-6840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
5341276-3501
UT
Other
Enumeration date
09/18/2013
Last updated
03/17/2018
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