Individual
JACOB FIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
6975 S UNION PARK CTR # 621, COTTONWOOD HEIGHTS, UT 84047-6048
(801) 477-7422
Mailing address
971 W DEBONAIR DR, SALT LAKE CITY, UT 84116-2120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14197652-6009
UT
Other
Enumeration date
12/23/2024
Last updated
08/02/2025
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