Individual
JENNIFER L MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-3222
Mailing address
1820 S MAIN ST APT 302, SALT LAKE CITY, UT 84115-2058
(385) 529-1589
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
F24-113399
UT
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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