Individual provider · Type 1 NPI
Jessica Dawn Jewell, M.S.
Professional Counselor · Park City, UT
NPI number
1164709671
Active
Practice location
2065 Sidewinder Dr, Ste. 102
Park City, UT 84060-7216
Mailing address
PO Box 259
Midway, UT 84049-0259
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 7091340-6004 (UT) |
Professional Counselor: Definition to come...
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About NPI 1164709671
Jessica Dawn Jewell, M.S.'s National Provider Identifier is 1164709671, issued on Nov 11, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Park City, UT. The record was last updated on Dec 14, 2021.