Jessica Suzan Canty is a Counselor based in Provo, UT. Jessica Suzan Canty practices in Provo, UT. The NPI Number for Jessica Suzan Canty is 1093023236 and holds a License No. (Utah).
The current practice location address for Jessica Suzan Canty is 836 N 1375 W, Provo, UT and can be reached out via phone at 801-375-2523.
Location: 836 N 1375 W, Provo, UT, 84604-3049
Provider Profile Details
NPI Number
1093023236
Provider Name
Jessica Suzan Canty
Credential
Provider Entity Type
Individual
Gender
Female
Address
836 N 1375 W, Provo, UT, 84604-3049
Phone Number
801-375-2523
Fax Number
Provider Enumeration Date
09/22/2010
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101Y00000X | 01 | UT | BEHAVIORAL HEALTH |
Provider Business Practice Location Address Details
Address
836 N 1375 W
City
State
Zip
84604-3049
Phone Number
801-375-2523
Fax Number
Provider Business Mailing Address Details
Address
836 N 1375 W
City
State
Zip
84604-3049
Phone Number
801-375-2523
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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