Individual
JODI L FORSGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
(435) 752-7433
Mailing address
25 WEST 200 NORTH, WELLSVILLE, UT 84339
(435) 245-9530
(435) 752-7433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4979666-6004
UT
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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