Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON EDWARD WILDE, LPC
Active Sole ProprietorMR. JASON EDWARD WILDE, LPC is a Professional Counselor healthcare provider located in CLEARFIELD, Utah. NPI 1689962060 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CLEARFIELD, UT
Registration Details
- NPI Number
- 1689962060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2011 (15.028362505075 yrs)
- Last Updated
- Jul 19, 2011
- License
-
5638133-6004 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1360 E 1450 SCLEARFIELD, UT, 840151611Browse UT providers · Browse ZIP 84015
- Phone
- 8017730712
- Fax
- 8017748267
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in CLEARFIELD, UT
| Name | Credential | NPI |
|---|---|---|
| JAMES TODD NORTHROP | — | 1700842069 |
| SUE STEPHENSON | CMHC | 1497934103 |
| SHANNON K. SMITH | — | 1982858437 |
| TAMI KNIGHT | LAPC | 1780903393 |
| MS. REBECCA CORALYN BACON | APC | 1508133752 |
| KATHLEEN NIWA | LPC | 1609141597 |
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.