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Jennifer Lynne Middleton, ACMHC
Mental Health Counselor in Provo, Utah
NPI 1790429256

Jennifer Lynne Middleton is a Mental Health Counselor based in Provo, UT and is specialized in Mental Health. Jennifer Lynne Middleton practices in Provo, UT and has the professional credentials of ACMHC. The NPI Number for Jennifer Lynne Middleton is 1790429256 and holds a License No. 5991951-6009 (Utah).

The current practice location address for Jennifer Lynne Middleton is 4626 N 300 W Ste 150, Provo, UT and can be reached out via phone at 801-407-4134.

Location: 4626 N 300 W Ste 150, Provo, UT, 84604-6077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790429256
Provider Name
Jennifer Lynne Middleton
Credential
ACMHC
Provider Entity Type
Individual
Gender
Female
Address
4626 N 300 W Ste 150, Provo, UT, 84604-6077
Phone Number
801-407-4134
Fax Number
Provider Enumeration Date
04/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4626 N 300 W Ste 150
City
Provo
State
Utah
Zip
84604-6077
Phone Number
801-407-4134
Fax Number
person
Provider Business Mailing Address Details
Address
4626 N 300 W Ste 150
City
Provo
State
Utah
Zip
84604-6077
Phone Number
801-407-4134
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
5991951-6009 (Utah)
Definition
Definition to come...
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