Individual
JARED KIMBALL HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 N 200 E, CEDAR CITY, UT 84720-2615
(435) 867-4770
Mailing address
30 N 300 E APT 4, CEDAR CITY, UT 84720-4045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207382094
—
UT
Enumeration date
07/05/2008
Last updated
07/05/2008
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