Individual
JORDAN BLAKE HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LAMFT
Contact information
Practice address
10432 S 4000 W STE B, SOUTH JORDAN, UT 84009-5729
(801) 824-7230
Mailing address
10432 S 4000 W STE B, SOUTH JORDAN, UT 84009-5729
(801) 824-7230
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12448182-3904
UT
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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