MR. JASON WILDE, LPC
Counselor - Professional
Active
Individual
NPI: 1689962060
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 5638133-6004 (UT) |
Frequently Asked Questions
NPI 1689962060 is the National Provider Identifier for MR. JASON WILDE, LPC, a Counselor - Professional provider located in Clearfield, UT. This NPI was enumerated on July 19, 2011.
MR. JASON WILDE, LPC practices at 1360 E 1450 S, Clearfield, UT 84015.
Quick Facts
- NPI
- 1689962060
- Type
- Individual
- Enumerated
- Jul 19, 2011
- Last Updated
- Jul 19, 2011
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