Individual
JESSICA URSEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
638 E 950 S UNIT A, CLEARFIELD, UT 84015-1875
(801) 985-8786
Mailing address
638 E 950 S UNIT A, CLEARFIELD, UT 84015-1875
(801) 985-8786
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
01/05/2024
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