MRS. JENNIFER POULOS, LCSW, LSUDC

Social Worker - Clinical

Active Individual
NPI: 1407153547

Practice Address

4460 S HIGHLAND DR
#230
Salt Lake City, UT 84124

Phone: (888) 949-4864

Specialties

Specialty Code Primary License
Counselor 101Y00000X No -
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 8139526-6006 (UT)
Social Worker - Clinical 1041C0700X Yes 8139526-3501 (UT)

Frequently Asked Questions

NPI 1407153547 is the National Provider Identifier for MRS. JENNIFER POULOS, LCSW, LSUDC, a Social Worker - Clinical provider located in Salt Lake City, UT. This NPI was enumerated on February 25, 2011.
MRS. JENNIFER POULOS, LCSW, LSUDC practices at 4460 S HIGHLAND DR, #230, Salt Lake City, UT 84124.

Quick Facts

NPI
1407153547
Type
Individual
Enumerated
Feb 25, 2011
Last Updated
Aug 14, 2025

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