Individual
HOLLEY JEPPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
11717 S AMBER STONE DR, SOUTH JORDAN, UT 84095-8076
(801) 574-5683
(385) 234-4822
Mailing address
11717 S AMBER STONE DR, SOUTH JORDAN, UT 84095-8076
(801) 574-5683
(385) 234-4822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8160113-6004
UT
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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