Individual
JESSICA FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 W BULLDOG BLVD STE 601, PROVO, UT 84604-3331
(801) 357-7525
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
10108245-2501
UT
Other
Enumeration date
09/24/2012
Last updated
04/01/2019
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