Individual provider · Type 1 NPI

Jennifer Elledge

Marriage & Family Therapist · Salt Lake City, UT

NPI number 1811399207 Active

Practice location

2040 E Murray Holladay Rd
Salt Lake City, UT 84117-5185

Fax (316) 462-0994

Mailing address

2616 Wembleycross Way
Orlando, FL 32828-7963

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XIMT 2138 (FL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1811399207

Jennifer Elledge's National Provider Identifier is 1811399207, issued on Sep 17, 2014. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 14, 2026.