SearchUtah1041C0700X

Jerald Jefferies, LCSW

NPI 1407135775 · on the registry since 2011

Practice

Address
1140 36th St Ste 285
Ogden, UT 84403
Phone
(801) 928-8567
Fax
(801) 419-0699
Organisation at this address
Kt&T, Inc.
Tristan Inc.
Kt&T Venures
Bsp Utah, Pllc
Kt&T Ventures, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-04

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