Individual
JESSICA BLACKETT BUCKHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1079 E RIVERSIDE DR STE 203, ST GEORGE, UT 84790-4735
(435) 414-8658
Mailing address
1079 E RIVERSIDE DR STE 203, ST GEORGE, UT 84790-4735
(435) 414-8658
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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