Search › Utah › 1041C0700X
Stacey Jackson-Roberts, LCSW-C
NPI 1497127419 · on the registry since 2015 · sole proprietor
Practice
- Address
- 570 S 300 W Unit S325
Salt Lake City, UT 84101 - Phone
- (424) 320-0929
- Organisation at this address
- Knowledgedna
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- MD, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-16
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