Individual provider · Type 1 NPI

Ivy O'Connor

Mental Health Counselor · West Jordan, UT

NPI number 1912685579 Active

Practice location

1561 W 7000 S Ste 200
West Jordan, UT 84084-3556

Fax (801) 967-2127

Mailing address

PO Box 330
Magna, UT 84044-0330

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912685579

Ivy O'Connor's National Provider Identifier is 1912685579, issued on Jul 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Jordan, UT. The record was last updated on Jul 5, 2023.