Individual
JENNY ERAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
195 E 700 N, LOGAN, UT 84321-3323
(435) 213-6696
Mailing address
1140 36TH ST STE 270, OGDEN, UT 84403-2064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/19/2011
Last updated
01/13/2023
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