Individual
JENNIFER ANN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSUDC
Contact information
Practice address
1080 E 800 N, OREM, UT 84097-4314
(801) 420-0089
Mailing address
1080 E 800 N, OREM, UT 84097-4314
(801) 420-0089
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14272543-6006
UT
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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