Jacob R Andreason
Counselor, Mental Health in South Jordan, UT. Individual provider (NPI-1).
NPI number1992011860
StatusActive
Last updated in NPPESMar 10, 2023
Details
- NPI
- 1992011860
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jacob R Andreason
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2010
- Certification date
- Mar 10, 2023
- Last updated
- Mar 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
10808 S River Front Pkwy Ste 308South Jordan, UT 84095-5761
Phone 801-984-6728 · Fax 801-984-4715
Mailing address
10808 S River Front Pkwy Ste 308South Jordan, UT 84095-5761
Phone 801-984-6728 · Fax 801-984-4715
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