Individual
JENNIFER ELIZABETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
1583 S 1600 E, SALT LAKE CITY, UT 84105-2829
(801) 636-3029
Mailing address
1583 S 1600 E, SALT LAKE CITY, UT 84105-2829
(801) 636-3029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9656033-6004
UT
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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