Individual
JENNIFER ELLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 E MURRAY HOLLADAY RD, SALT LAKE CITY, UT 84117-5185
(801) 285-6036
(316) 462-0994
Mailing address
2616 WEMBLEYCROSS WAY, ORLANDO, FL 32828-7963
(407) 575-8077
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT 2138
FL
Other
Enumeration date
09/17/2014
Last updated
04/14/2026
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