Jessica Nicole Endres
Social Worker, Clinical in Springville, UT. Individual provider (NPI-1).
NPI number1275895690
StatusActive
Last updated in NPPESNov 2, 2020
Details
- NPI
- 1275895690
- Entity type
- Individual (NPI-1)
- Name
- Jessica Nicole Endres
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2012
- Certification date
- Nov 2, 2020
- Last updated
- Nov 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 18437 | AZ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1672 W 700 SSuite D
Springville, UT 84663-4963
Phone 801-489-9721
Mailing address
2450 S El DoradoMesa, AZ 85202-7306
Phone 602-421-7055
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