Individual
JESSICA MILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9278 S 1700 W, WEST JORDAN, UT 84088
(801) 568-1419
Mailing address
PO BOX 57456, MURRAY, UT 84157-0456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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