person
Jacob Shane Smith, ACMHC
Mental Health Counselor in Eagle Mountain, Utah
NPI 1801541511

Jacob Shane Smith is a Mental Health Counselor based in Eagle Mountain, UT and is specialized in Mental Health. Jacob Shane Smith practices in Eagle Mountain, UT and has the professional credentials of ACMHC. The NPI Number for Jacob Shane Smith is 1801541511 and holds a License No. 8519497-6101 (Utah).

The current practice location address for Jacob Shane Smith is 3714 E Campus Dr Ste 101, Eagle Mountain, UT and can be reached out via phone at 801-789-7780.

Location: 3714 E Campus Dr Ste 101, Eagle Mountain, UT, 84005-5451
person
Provider Profile Details
NPI Number
1801541511
Provider Name
Jacob Shane Smith
Credential
ACMHC
Provider Entity Type
Individual
Gender
Male
Address
3714 E Campus Dr Ste 101, Eagle Mountain, UT, 84005-5451
Phone Number
801-789-7780
Fax Number
Provider Enumeration Date
02/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3714 E Campus Dr Ste 101
City
State
Zip
84005-5451
Phone Number
801-789-7780
Fax Number
person
Provider Business Mailing Address Details
Address
3714 E Campus Dr Ste 101
City
State
Zip
84005-5451
Phone Number
801-789-7780
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
8519497-6101 (Utah)
Definition
Definition to come...
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