Individual
JESSICA SHAW ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
210 N 1200 E, SUITE 205, LEHI, UT 84043-2297
(801) 822-2699
Mailing address
246 S 175 E, OREM, UT 84058-5566
(801) 822-2699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6235427-6004
UT
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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