person
Jacqueline Renee Graham, CSW
Mental Health Counselor in Salt Lake City, Utah
NPI 1316916059

Jacqueline Renee Graham is a Mental Health Counselor based in Salt Lake City, UT and is specialized in Mental Health. Jacqueline Renee Graham practices in Salt Lake City, UT and has the professional credentials of CSW. The NPI Number for Jacqueline Renee Graham is 1316916059 and holds a License No. 2089903502 (Utah).

The current practice location address for Jacqueline Renee Graham is 124 S 400 E, Salt Lake City, UT and can be reached out via phone at 801-326-7444 and via fax at 801-783-5559.

Location: 124 S 400 E, Salt Lake City, UT, 84111-2135
person
Provider Profile Details
NPI Number
1316916059
Provider Name
Jacqueline Renee Graham
Credential
CSW
Provider Entity Type
Individual
Gender
Female
Address
124 S 400 E, Salt Lake City, UT, 84111-2135
Phone Number
801-326-7444
Fax Number
801-783-5559
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
124 S 400 E
City
State
Zip
84111-2135
Phone Number
801-326-7444
Fax Number
801-783-5559
person
Provider Business Mailing Address Details
Address
124 S 400 E
City
State
Zip
84111-2135
Phone Number
801-326-7444
Fax Number
801-783-5559
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2089903502 (Utah)
Definition
Definition to come...
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