Individual provider · Type 1 NPI

Jenal Nerissa Rollins Wise, SSW

Mental Health Counselor · Salt Lake City, UT

NPI number 1598063265 Active

Practice location

5965 S 900 E
Salt Lake City, UT 84121-1720

Call (801) 263-7100 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7359110-3503 (UT)

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About NPI 1598063265

Jenal Nerissa Rollins Wise, SSW's National Provider Identifier is 1598063265, issued on Mar 4, 2011. 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 Mar 4, 2011.