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Search › Utah › 104100000X

Jacob Green

NPI 1760096747 · on the registry since 2020

Practice

Address
1020 S Main St
Salt Lake City, UT 84101
Phone
(888) 949-4864
Fax
(801) 373-0639
Organisation at this address
Valleyrx
Valley Mental Health Incorporated
Valley Mental Health Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address
239

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-21

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