Individual
JEREMY DALLAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 S 2000 W STE E302, SYRACUSE, UT 84075-9611
(801) 896-3622
Mailing address
210 N 3600 W, LAYTON, UT 84041-7114
(801) 628-0113
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
14191462-3904
UT
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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