Individual
JENNIFER LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACHMCE
Contact information
Practice address
291 N 300 E, AMERICAN FORK, UT 84003-1883
(801) 318-4721
Mailing address
291 N 300 E, AMERICAN FORK, UT 84003-1883
(801) 318-4721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12727369-6010
UT
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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