Individual
JENNIFER MAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1190 N 900 E, PROVO, UT 84604-3536
(801) 422-7620
Mailing address
1486 E 880 N, OREM, UT 84097-5413
(801) 822-4739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
63259576004
UT
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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