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Search › Utah › Mental Health Counselor

Jeremiah Southworth

NPI 1104223593 · on the registry since 2014 · sole proprietor

Practice

Address
750 N Freedom Blvd
Provo, UT 84601
Phone
(801) 373-4760
Fax
(801) 373-0639
Organisation at this address
Wasatch Mental Health
Wasatch Mental Health
Wasatch Mental Health
Wasatch Behavioral Health Special Service District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,555

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Also registered as
Peer Specialist
Sex
Male
Record last updated
2020-05-07

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