Kenneth Jeppesen, AMFT Valid NPI
Individual provider · Marriage & Family Therapist · Provo, UT
- NPI
- 1790167187
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 6001151-3904 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2015-06-23
- Last updated
- 2015-06-23
Practice location
3507 N University Ave Ste 350
Provo, UT 84604-6602
(801) 477-0041