Individual
MRS. JILLYN ALICE OSTERGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1525 N 200 W, LOGAN, UT 84341-2032
(435) 752-8880
(435) 752-8884
Mailing address
1525 N 200 W, LOGAN, UT 84341-2032
(435) 752-8880
(435) 752-8884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
146626-6004
UT
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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