Individual
MRS. JAN JUESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA.
Contact information
Practice address
13552 S 110 W STE 204, DRAPER, UT 84020-2403
(801) 432-0883
Mailing address
498 W SUNSET CREST WAY, DRAPER, UT 84020-7301
(760) 401-3189
(760) 401-3189
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11360888-3904
UT
106H00000X
Marriage & Family Therapist
54822
CA
Other
Enumeration date
01/30/2009
Last updated
12/02/2021
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