Individual
JERICHO BRENT AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW, CSUDC
Contact information
Practice address
21 E 100 N, AMERICAN FORK, UT 84003-1651
(385) 374-9708
Mailing address
2214 E LOCH LOMOND DR, SARATOGA SPRINGS, UT 84043-3911
(385) 374-9708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10395960-3501
UT
1041C0700X
Clinical Social Worker
Primary
10395960-3502
UT
Other
Enumeration date
06/03/2019
Last updated
07/07/2026
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