Individual
JENNIFER ALLEN ERICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
563 W 500 S STE 440, BOUNTIFUL, UT 84010-8296
(385) 503-5646
Mailing address
1434 N 2475 W, LAYTON, UT 84041-7763
(801) 513-8875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13964016-3502
UT
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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