Individual
MS. JESSICA TAMARA JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 E 5600 S STE 304, MURRAY, UT 84107-8174
(801) 272-3420
Mailing address
4361 S MORRIS ST, TAYLORSVILLE, UT 84129-5521
(801) 885-9722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9475915-6006
UT
1041C0700X
Clinical Social Worker
Primary
9475915-3501
UT
Other
Enumeration date
06/21/2018
Last updated
09/15/2022
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