Individual
CARRIE SEITER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
3740 MARKET CENTER DR, SUITE 1200, RIVERTON, UT 84065-8026
(807) 240-9436
(801) 240-9452
Mailing address
3740 MARKET CENTER DR, SUITE 1200, RIVERTON, UT 84065-8026
(807) 240-9436
(801) 240-9452
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6819342-6004
UT
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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