Individual
JODI OHLIN LORENZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
10763 S LAKE TERRACE AVE, SOUTH JORDAN, UT 84009-6201
(650) 695-7436
Mailing address
10767 S LAKE TERRACE AVE, SOUTH JORDAN, UT 84009-6201
(801) 209-7043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
92553296004
UT
101YM0800X
Mental Health Counselor
Primary
92553296009
UT
Other
Enumeration date
10/10/2016
Last updated
08/19/2024
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