Individual provider · Type 1 NPI
Jackie Lister
Counselor · Taylorsville, UT
NPI number
1750719787
Active
Practice location
5667 Redwood Rd
Taylorsville, UT 84123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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 1750719787
Jackie Lister's National Provider Identifier is 1750719787, issued on Oct 30, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Taylorsville, UT. The record was last updated on Oct 30, 2013.