Individual provider · Type 1 NPI

Jedediah Anderson, MHCI

Mental Health Counselor · Pleasant Grove, UT

NPI number 1730409954 Active

Practice location

194 S Main St
Pleasant Grove, UT 84062-2631

Fax (801) 785-1154

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730409954

Jedediah Anderson, MHCI's National Provider Identifier is 1730409954, issued on Jun 10, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pleasant Grove, UT. The record was last updated on Jun 10, 2010.