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Jessica Dawn Black, ACMHC
Mental Health Counselor in Bountiful, Utah
NPI 1619529500

Jessica Dawn Black is a Mental Health Counselor based in Riverdale, UT and is specialized in Mental Health. Jessica Dawn Black practices in Bountiful, UT and has the professional credentials of ACMHC. The NPI Number for Jessica Dawn Black is 1619529500 and holds a License No. 11070400-6009 (Utah).

The current practice location address for Jessica Dawn Black is 1576 S 500 W, Bountiful, UT and can be reached out via phone at 801-406-9002.

Location: 1576 S 500 W, Bountiful, UT, 84405-4000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619529500
Provider Name
Jessica Dawn Black
Credential
ACMHC
Provider Entity Type
Individual
Gender
Female
Address
1576 S 500 W, Bountiful, UT, 84405-4000
Phone Number
801-406-9002
Fax Number
Provider Enumeration Date
07/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1576 S 500 W
City
Bountiful
State
Utah
Zip
84010
Phone Number
801-406-9002
Fax Number
person
Provider Business Mailing Address Details
Address
1576 S 500 W
City
Bountiful
State
Utah
Zip
84010
Phone Number
801-406-9002
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
11070400-6009 (Utah)
Definition
Definition to come...
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