Jessica Ellen Ward

NPI #1043570419 in Provo, Utah

Provider Information

NPI Number: 1043570419
Entity Type: Individual
Name: Jessica Ellen Ward
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 20, 2012
Last Updated: May 20, 2012

Practice Location

Address: 836 N 1375 W
City: Provo
State: Utah
ZIP Code: 84604-3049
Phone: (801) 375-2523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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