Individual provider · Type 1 NPI

Jessica Wacker

Mental Health Counselor · Salt Lake City, UT

NPI number 1083737480 Active

Practice location

1782 Holladay Blvd
Salt Lake City, UT 84124-2606

Call (801) 703-5321 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7727205-6004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1083737480

Jessica Wacker's National Provider Identifier is 1083737480, issued on Apr 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 12, 2012.