Jacob Kenison

NPI #1245921956 in Holladay, Utah

Provider Information

NPI Number: 1245921956
Entity Type: Individual
Name: Jacob Kenison
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: May 15, 2023
Last Updated: May 15, 2023

Practice Location

Address: 2046 E MURRAY HOLLADAY RD STE 101
City: Holladay
State: Utah
ZIP Code: 84117-5173
Phone: (801) 980-2566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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