Individual
TAYLOR JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 W 600 N, HURRICANE, UT 84737-1682
(435) 635-8515
Mailing address
325 W 600 N, HURRICANE, UT 84737-1682
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6377471-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6377471-3902
UT DOPL
UT
Enumeration date
08/17/2021
Last updated
08/17/2021
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