Organization
EMPOWERING RELIEF COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB EUGENE JACQUEZ LCSW (OWNER, EXECUTIVE DIRECTOR)
(385) 800-3272
Entity
Organization
Contact information
Practice address
5814 S 900 E, MURRAY, UT 84121-1644
(385) 800-3272
(385) 800-3260
Mailing address
5814 S 900 E, MURRAY, UT 84121-1644
(385) 800-3272
(385) 800-3260
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
07/16/2023
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