person
Matthew Adrian Jackman
Addiction (Substance Use Disorder) Counselor in Salt Lake City, Utah
NPI 1891071973

Matthew Adrian Jackman is an Addiction (Substance Use Disorder) Counselor based in Salt Lake City, UT and is specialized in Addiction (Substance Use Disorder). Matthew Adrian Jackman practices in Salt Lake City, UT. The NPI Number for Matthew Adrian Jackman is 1891071973 and holds a License No. (Utah).

The current practice location address for Matthew Adrian Jackman is 447 Bearcat Dr, Salt Lake City, UT and can be reached out via phone at 801-355-2846 and via fax at 801-359-3244.

Location: 447 Bearcat Dr, Salt Lake City, UT, 84115-2519
person
Provider Profile Details
NPI Number
1891071973
Provider Name
Matthew Adrian Jackman
Credential
Provider Entity Type
Individual
Gender
Male
Address
447 Bearcat Dr, Salt Lake City, UT, 84115-2519
Phone Number
801-355-2846
Fax Number
801-359-3244
Provider Enumeration Date
11/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
447 Bearcat Dr
City
State
Zip
84115-2519
Phone Number
801-355-2846
Fax Number
801-359-3244
person
Provider Business Mailing Address Details
Address
447 Bearcat Dr
City
State
Zip
84115-2519
Phone Number
801-355-2846
Fax Number
801-359-3244
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Utah)
Definition
Definition to come...
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