Individual
JENNIFER LONGMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
57 W 9000 S # 204, SANDY, UT 84070-2008
(801) 893-7168
(651) 925-0057
Mailing address
57 W 9000 S # 204, SANDY, UT 84070-2008
(801) 893-7168
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11550361-6004
UT
101YP2500X
Professional Counselor
Primary
1022-8-15-19A
ND
Other
Enumeration date
09/11/2019
Last updated
06/16/2026
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