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JED BLACK, INTERN
INTERN
Mental Health Counselor
NPI: 1831688233Individual
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
Contact & Hours
- Address
- 1407 N 2000 W STE J
CLINTON, UT 84015 - Phone
- (801) 855-7999
Quick Facts
- NPI
- 1831688233
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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