Individual
JUANA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 SKYLINE DR, BRIGHAM CITY, UT 84302-6772
(801) 255-5131
Mailing address
6013 S REDWOOD RD, TAYLORSVILLE, UT 84123-5220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12835003-3506
UT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/23/2022
Last updated
05/18/2023
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