Individual
JACKSON DUNLEAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
533 26TH ST STE 100, OGDEN, UT 84401-2459
(801) 645-5455
Mailing address
533 26TH ST STE 100, OGDEN, UT 84401-2459
(801) 645-5455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13970990-3502
UT
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/25/2020
Last updated
10/15/2025
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