Jennifer Harmon

Individual provider Active NPI Mental Health Counselor · Salt Lake City, UT

NPI 1063892016 · NPPES record last updated Jun 4, 2015

Key facts

NPI
1063892016
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone
(801) 587-2460
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
90096CAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

501 S Chipeta Way
Salt Lake City, UT 84108-1222

Mailing address

501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone (801) 587-2460

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Mental Health Counselor in Utah

Sources for this page

Verify at the official NPI Registry.