| Jacquez Counseling, PLLC | |
|
5814 S 900 E Murray UT 84121-1644 | |
| (385) 800-3270 | |
| (385) 800-3260 |
| Full Name | Jacquez Counseling, PLLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5814 S 900 E, Murray, Utah |
| Authorized Official Name and Position | Jacob Jacquez (OWNER) |
| Authorized Official Contact | 3858003270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquez Counseling, PLLC 5814 S 900 E Murray UT 84121-1644 Ph: (385) 800-3270 | Jacquez Counseling, PLLC 5814 S 900 E Murray UT 84121-1644 Ph: (385) 800-3270 |
| NPI Number | 1417716382 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417716382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
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