Individual
CANDACE JESSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
132 S STATE ST, SALT LAKE CITY, UT 84111-1506
(801) 949-9868
Mailing address
132 S STATE ST, SALT LAKE CITY, UT 84111-1506
(801) 949-9868
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
53750593501
UT
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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