Individual
JAMIE JEPSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
474 W 200 N, SUITE 200, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Mailing address
474 W 200 N, SUITE 300, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
373217-3503
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
373217-3503
UTAH STATE LICENSE
UT
01
—
JEPSEJ
SWCBH STAFF CODE
UT
Enumeration date
08/13/2007
Last updated
08/13/2007
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