Jeremiah Southworth
NPI #1104223593 in Provo, Utah
Provider Information
- NPI Number
- 1104223593
- Entity Type
- Individual
- Name
- Jeremiah Southworth
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 1, 2014
- Last Updated
- May 7, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
| Counselor - Mental Health — Mental Health |
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