Individual
MR. JASON MARK WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, ASUDC
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4808640-6006
UT
1041C0700X
Clinical Social Worker
Primary
4808640-3501
UT
Other
Enumeration date
03/18/2008
Last updated
08/19/2020
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