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Jason Wilde, LPC
NPI 1689962060 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1360 E 1450 S
Clearfield, UT 84015 - Phone
- (801) 773-0712
- Fax
- (801) 774-8267
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-07-19
- Status
- Not present in the most recent federal file
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