Individual
EILEEN JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
735 E 1400 N, MAPLETON, UT 84664-3850
(801) 367-5222
Mailing address
735 E 1400 N, MAPLETON, UT 84664-3850
(801) 367-5222
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1171043902
UT
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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