Individual
JAYDE SCROGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2230 N UNIVERSITY PKWY STE 9D, PROVO, UT 84604-1595
(385) 518-0652
Mailing address
664 S 100 W, MANTI, UT 84642-1607
(208) 604-4275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11871316-3902
UT
106H00000X
Marriage & Family Therapist
11871316-3904
UT
Other
Enumeration date
09/18/2020
Last updated
04/03/2025
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