Individual
JADE LANI OZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 LINCOLN AVE, OGDEN, UT 84404-5638
(801) 621-6510
Mailing address
1965 S 1275 E, OGDEN, UT 84401-0761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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