Individual
JESSICA AURORA BERRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7055 W BELL RD, SUITE 21, GLENDALE, AZ 85308-8544
(632) 878-2037
Mailing address
10486 N CANTERBURY DR, HIGHLAND, UT 84003-9305
(801) 669-6104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7656912-3501
UT
Other
Enumeration date
05/14/2007
Last updated
12/06/2012
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