Harrell, Jordan Blake
Harrell, Jordan Blake is an individual health care provider with primary practice located at 10432 S 4000 W Ste B , South Jordan UT 84009-5729. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Harrell, Jordan Blake can be contacted via phone (801) 824-7230.Contact Information
Primary practice address
10432 S 4000 W Ste B
South Jordan UT 84009-5729
Phone: (801) 824-7230
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 12448182-3904 | Utah |
Profile Details
| NPI number | 1528736626 |
|---|---|
| LBN Legal business name | Harrell, Jordan Blake |
| Credentials | M.S., LAMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2021 |
| Last updated | Sep 2nd, 2021 - 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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