Individual
JACK G WEBB III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
2183 W MAIN ST STE A209, LEHI, UT 84043-6760
(385) 352-3044
Mailing address
111 E MAIN ST STE L4, LEHI, UT 84043-2490
(801) 980-3676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11205735-6004
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/27/2018
Last updated
09/16/2021
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