Jacob Robert Chidester
NPI #1114543469 in Springville, Utah
Provider Information
- NPI Number
- 1114543469
- Entity Type
- Individual
- Name
- Jacob Robert Chidester
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Jun 23, 2020
- Last Updated
- Jun 23, 2020
Practice Location
- Address
- 2250 W CENTER ST BLDG 1
- City
- Springville
- State
- Utah
- ZIP Code
- 84663-4921
- Phone
- (801) 824-1025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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