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Jared Wayne Peiffer, LCMHC

Counselor, Mental Health in Sandy, UT. Individual provider (NPI-1).

NPI number1417536160
StatusActive
Last updated in NPPESJan 22, 2024

Details

NPI
1417536160
Entity type
Individual (NPI-1)
Name
Jared Wayne Peiffer
Credential
LCMHC
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 7, 2021
Certification date
Jan 18, 2024
Last updated
Jan 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health12921613-6004UTYes
101YM0800X Counselor, Mental Health––

Practice location

9305 S 1300 E
Ste 120
Sandy, UT 84093

Phone 801-828-8973

Mailing address

10644 Skamania Way
South Jordan, UT 84009

Phone 801-828-8973

Other practice locations

10432 S 4000 W
South Jordan, UT 84009-5729

Phone 801-828-8973

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