Jericho Brent Avery, CSW, CSUDC

NPI #1649838863 in Lindon, Utah

Provider Information

NPI Number
1649838863
Entity Type
Individual
Name
Jericho Brent Avery, CSW, CSUDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
CSW, CSUDC
Enumeration Date
Jun 3, 2019
Last Updated
Jan 12, 2023

Practice Location

Address
20 S STATE ST
City
Lindon
State
Utah
ZIP Code
84042-1939
Phone
(801) 441-7144

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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