Individual
MR. JAMAL AHMED BARAKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
(801) 415-7533
Mailing address
2472 S 300 E, SALT LAKE CITY, UT 84115-2895
(801) 415-7429
(801) 415-7533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
325010-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U006
IHC
UT
Enumeration date
12/16/2005
Last updated
01/06/2021
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