Individual
JESSICA B. JEFFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMCH
Contact information
Practice address
440 S 500 E, SALT LAKE CITY, UT 84102
(801) 359-8862
(801) 359-8510
Mailing address
440 S 500 E, SALT LAKE CITY, UT 84102-2705
(801) 359-8862
(801) 359-8510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7627014-6004
UT
390200000X
Student in an Organized Health Care Education/Training Program
7627014-6009
UT
Other
Enumeration date
03/02/2011
Last updated
10/04/2019
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