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

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 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.