Organization
BLUE CLOVER THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE SHEPHERD LCMHC (OWNER THERAPIST)
(801) 206-4321
Entity
Organization
Contact information
Practice address
2825 E COTTONWOOD PKWY, SUITE 500, SALT LAKE CITY, UT 84121-7055
(801) 206-4321
Mailing address
2825 E COTTONWOOD PKWY, SUITE 500, SALT LAKE CITY, UT 84121-7055
(801) 206-4321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9706026-0160
UT
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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