Individual
JERICHO C PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1576 S 500 W, BOUNTIFUL, UT 84010-7433
(801) 406-9002
(801) 855-5660
Mailing address
1576 S 500 W, WOODS CROSS, UT 84010-7433
(801) 406-9002
(801) 855-5660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10998714-3501
UT
Other
Enumeration date
11/06/2018
Last updated
01/04/2024
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