Individual
DR. JESSIE LEIGH KOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,NCC,NCSC,ACMHC
Contact information
Practice address
2810 OLD MAIN HL, LOGAN, UT 84322-2810
(435) 797-1250
Mailing address
2810 OLD MAIN HL, LOGAN, UT 84322-2810
(435) 797-1250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12557230-6009
UT
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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