Individual
JENNIFER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 NORTH MAIN STREET, SPRINGVILLE, UT 84663
(801) 420-4697
Mailing address
1289 EAST APPLE AVE, PROVO, UT 84604
(801) 836-9470
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68960856004
UT
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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