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Jessica Blackett Buckholz
Mental Health Counselor in St George, Utah
NPI 1609441450

Jessica Blackett Buckholz is a Mental Health Counselor based in St George, UT and is specialized in Mental Health. Jessica Blackett Buckholz practices in St George, UT. The NPI Number for Jessica Blackett Buckholz is 1609441450 and holds a License No. (Utah).

The current practice location address for Jessica Blackett Buckholz is 1079 E Riverside Dr Ste 203, St George, UT and can be reached out via phone at 435-414-8658.

Location: 1079 E Riverside Dr Ste 203, St George, UT, 84790-4735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609441450
Provider Name
Jessica Blackett Buckholz
Credential
Provider Entity Type
Individual
Gender
Female
Address
1079 E Riverside Dr Ste 203, St George, UT, 84790-4735
Phone Number
435-414-8658
Fax Number
Provider Enumeration Date
05/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1079 E Riverside Dr Ste 203
City
St George
State
Utah
Zip
84790-4735
Phone Number
435-414-8658
Fax Number
person
Provider Business Mailing Address Details
Address
1079 E Riverside Dr Ste 203
City
St George
State
Utah
Zip
84790-4735
Phone Number
435-414-8658
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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