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Individual

MR. JESSE FRANK HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
304 W 300 N, MANTI, UT 84642-1015
(435) 835-4071
Mailing address
304 W 300 N, MANTI, UT 84642-1015
(435) 835-4071

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3243
NM
101YP2500X
Professional Counselor
3243
NM

Other

Enumeration date
09/25/2009
Last updated
03/08/2012
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