Search › Utah › 101YM0800X
Jordan Killpack, MC, LPC, CMHC
NPI 1194760363 · on the registry since 2006
Practice
- Address
- 2650 W 2700 S
Syracuse, UT 84075 - Phone
- (956) 639-6309
- Fax
- (956) 639-6309
- Organisation at this address
- Elevations Rtc
Island View Residential Treatment CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 934 S Main St, Layton, UT
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
101Y00000X
101YA0400X
101YA0400X
101YM0800X
101YP2500X
101YP2500X - Licence states on file
- UT, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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