Individual
JARED BLAINE TWITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
12397 S 300 E STE 100, DRAPER, UT 84020-8274
(385) 900-4020
(801) 790-0139
Mailing address
1491 E CENTER ST, SPRINGVILLE, UT 84663-2140
(480) 432-6381
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
311580-6004
UT
Other
Enumeration date
06/10/2020
Last updated
10/17/2024
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