Individual provider · Type 1 NPI

Jessica Shade

Counselor · Salt Lake City, UT

NPI number 1134587264 Active

Practice location

4460 S Highland Dr, #230
Salt Lake City, UT 84124-3543

Call (888) 949-4864 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1134587264

Jessica Shade's National Provider Identifier is 1134587264, issued on Feb 3, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 3, 2016.