Individual
JAISHA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 N MALL DR STE VW103, ST GEORGE, UT 84790-7337
(435) 632-7729
Mailing address
321 N MALL DR STE VW103, ST GEORGE, UT 84790-7337
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12898453-3904
UT
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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