Individual
MS. JACQUELINE V HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, LMFT
Contact information
Practice address
4190 SO. HIGHLAND DRIVE, SUITE 208, SALT LAKE CITY, UT 84124
(801) 278-8357
(801) 272-0779
Mailing address
4190 SO. HIGHLAND DRIVE, SITE 208, SALT LAKE CITY, UT 84124
(801) 278-8357
(801) 272-0779
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1894923902
UT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1894924408
UT
Other
Enumeration date
04/16/2007
Last updated
07/21/2022
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