JESSICA DAWN BLACK

BOUNTIFUL, UT
NPI1619529500
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  11070400-6009)
Enumeration Date2019-07-11
Last Update Date2019-07-11
Business Address
JESSICA DAWN BLACK ACMHC
1576 S 500 W SUITE 102
BOUNTIFUL, UT 84010
Phone number: 801-406-9002
Mailing Address
JESSICA DAWN BLACK ACMHC
5398 S 1345 W
RIVERDALE, UT 84405-4000
Phone number: 801-209-1212
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