Jeffrey Brown Jackson, PH.D., LMFT Valid NPI
Individual provider · Marriage & Family Therapist · Provo, UT
- NPI
- 1447481205
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 5731350-3902 (UT)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2009-07-28
- Last updated
- 2009-07-28
Practice location
450 N University Ave, Suite 204
Provo, UT 84601-2860
(801) 815-8105