Individual
JESSICA LOUISE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
4943 S WASATCH BLVD, SALT LAKE CITY, UT 84124-4798
(385) 202-5868
Mailing address
1743 LAURELWOOD DR, SAN JOSE, CA 95125-4952
(650) 248-4855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9418686-6004
UT
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/13/2013
Last updated
01/05/2022
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