Jacob Dastrup
NPI #1619501368 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1619501368
- Entity Type
- Individual
- Name
- Jacob Dastrup
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 2, 2020
- Last Updated
- Aug 22, 2023
Practice Location
- Address
- 487 E 1000 S STE A
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-3639
- Phone
- (801) 893-6399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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