Jennifer Ann Jackson, LCSW
Social Worker, Clinical in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1720161177
StatusActive
Last updated in NPPESFeb 14, 2024
Details
- NPI
- 1720161177
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Ann Jackson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2006
- Certification date
- Feb 14, 2024
- Last updated
- Feb 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 367893-3501 | UT | Yes |
Practice location
1766 S 2100 ESalt Lake City, UT 84108-3067
Phone 801-403-8626
Mailing address
1766 S 2100 ESalt Lake City, UT 84108-3067
Phone 801-403-8626
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