Judd, Jessica Tamara
Judd, Jessica Tamara is an individual health care provider with primary practice located at 111 E 5600 S Ste 304 , Murray UT 84107-8174. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Judd, Jessica Tamara can be contacted via phone (801) 272-3420.Contact Information
Primary practice address
111 E 5600 S Ste 304
Murray UT 84107-8174
Phone: (801) 272-3420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9475915-3501 | Utah |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 9475915-6006 | Utah |
Profile Details
| NPI number | 1780178749 |
|---|---|
| LBN Legal business name | Judd, Jessica Tamara |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2018 |
| Last updated | Sep 15th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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