Individual provider · Type 1 NPI
Jeremy Jensen
Mental Health Counselor · Castledale, UT
NPI number
1992255848
Active
Practice location
45 E. 100 S.
Castledale, UT 84513
Fax (801) 373-0639
Mailing address
P.o. Box 867
Price, UT 84501-0867
Other practice locations
- 1258 High St, Eugene, OR 97401-3238 · (541) 242-2937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 11450229-6009 (UT) |
| Counselor | 101Y00000X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
About NPI 1992255848
Jeremy Jensen's National Provider Identifier is 1992255848, issued on Oct 4, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Castledale, UT. The record was last updated on Jun 11, 2021.