JACKIE ROCK, LCMHC
Counselor - Professional
Active
Individual
NPI: 1780962464
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 5886956-6004 (UT) |
Frequently Asked Questions
NPI 1780962464 is the National Provider Identifier for JACKIE ROCK, LCMHC, a Counselor - Professional provider located in Sandy, UT. This NPI was enumerated on July 28, 2011.
JACKIE ROCK, LCMHC practices at 123 E MAIN ST, Sandy, UT 84070.
Quick Facts
- NPI
- 1780962464
- Type
- Individual
- Enumerated
- Jul 28, 2011
- Last Updated
- Apr 4, 2014
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