Individual
JACQUELINE EVANS-MCALISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
450 W 910 S # 200, HEBER CITY, UT 84032-2447
(435) 850-7402
Mailing address
520 N MAIN STREET SUITE C#448, HEBER CITY, UT 84032-9299
(435) 850-7402
(435) 538-7000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9056683-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9056683-6004
STATE LICENSING NUMBER
UT
Enumeration date
05/02/2008
Last updated
04/22/2019
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