Lister, Jackie

Lister, Jackie is an sole proprietor health care provider with primary practice located at 5667 Redwood Rd , Taylorsville UT 84123. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Lister, Jackie can be contacted via phone (801) 502-7463.

Contact Information

Primary practice address
5667 Redwood Rd Taylorsville UT 84123
Phone: (801) 502-7463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1750719787
LBN Legal business name Lister, Jackie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2013
Last updated Oct 30th, 2013 - about 12 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.

Request for update

Popular Providers