Individual
ELENA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1385 S STATE ST, SALT LAKE CITY, UT 84115-5582
(385) 228-7615
Mailing address
1385 S STATE ST, SALT LAKE CITY, UT 84115-5582
(385) 228-7615
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
UT
Other
Enumeration date
10/15/2025
Last updated
10/24/2025
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