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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA DAWN BLACK, ACMHC

Active

JESSICA DAWN BLACK, ACMHC is a Mental Health Counselor healthcare provider located in BOUNTIFUL, Utah. NPI 1619529500 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · BOUNTIFUL, UT

Registration Details

NPI Number
1619529500
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2019 (7.0682531624201 yrs)
Last Updated
Jul 11, 2019
License
11070400-6009 (UT)

Practice Information

Address
1576 S 500 W
SUITE 102
BOUNTIFUL, UT, 84010
Browse UT providers · Browse ZIP 84010
Phone
8014069002
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in BOUNTIFUL, UT

Name Credential NPI
BROOKE ANN SIMMONS LCSW 1588606925
SYDNEY R JEFFRIES LCSW 1609812940
GLEN HAMMOND 1538175658
MS. RADHA C MOLDOVER LCSW 1174699490
MARTI ANN KEIL L.C.S.W. 1811167273
MONICA FORSMAN LCMHC 1164756771
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.