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Search › Utah › 101YA0400X

Jacob Fergeson

NPI 1013654987 · on the registry since 2022

Practice

Address
2973 W 13800 S
Bluffdale, UT 84065
Phone
(801) 545-0406
Organisation at this address
Awakening Behavioral Health, Llc
Renaissance Ranch Bluffdale Men'S Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2022-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah