Individual
MRS. JESSICA JENKINS JENKINS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC INTERN
Contact information
Practice address
195 E 840 S, OREM, UT 84058-5016
(801) 310-9692
(801) 225-7053
Mailing address
370 S 500 E STE 135, CLEARFIELD, UT 84015-4001
(801) 815-3443
(801) 495-2076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/13/2010
Last updated
10/07/2020
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