Individual
JESSICA MERTLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5681 S REDWOOD RD UNIT 24, TAYLORSVILLE, UT 84123-5484
(917) 455-2427
Mailing address
1564 E BARCON RD, HOLLADAY, UT 84117-7502
(917) 455-2427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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