JEREMIAH SOUTHWORTH
Counselor - Mental Health
Active
Individual
NPI: 1104223593
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | No | - |
| Counselor - Mental Health | 101YM0800X | Yes | - |
Frequently Asked Questions
NPI 1104223593 is the National Provider Identifier for JEREMIAH SOUTHWORTH, a Counselor - Mental Health provider located in Provo, UT. This NPI was enumerated on December 1, 2014.
JEREMIAH SOUTHWORTH practices at 750 N FREEDOM BLVD, Provo, UT 84601.
Quick Facts
- NPI
- 1104223593
- Type
- Individual
- Enumerated
- Dec 1, 2014
- Last Updated
- May 7, 2020
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