person
Mr. Jason Edward Wilde, LPC
Professional Counselor in Clearfield, Utah
NPI 1689962060

Jason Edward Wilde is a Professional Counselor based in Clearfield, UT and is specialized in Professional. Jason Edward Wilde practices in Clearfield, UT and has the professional credentials of LPC. The NPI Number for Jason Edward Wilde is 1689962060 and holds a License No. 5638133-6004 (Utah).

The current practice location address for Jason Edward Wilde is 1360 E 1450 S, Clearfield, UT and can be reached out via phone at 801-773-0712 and via fax at 801-774-8267.

Location: 1360 E 1450 S, Clearfield, UT, 84015-1611
person
Provider Profile Details
NPI Number
1689962060
Provider Name
Jason Edward Wilde
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1360 E 1450 S, Clearfield, UT, 84015-1611
Phone Number
801-773-0712
Fax Number
801-774-8267
Provider Enumeration Date
07/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
876000308007 05 UT
260022408 01 UT RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1360 E 1450 S
City
State
Zip
84015-1611
Phone Number
801-773-0712
Fax Number
801-774-8267
person
Provider Business Mailing Address Details
Address
1360 E 1450 S
City
State
Zip
84015-1611
Phone Number
801-773-0712
Fax Number
801-774-8267
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5638133-6004 (Utah)
Definition
Definition to come...
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