Jackie Z Rock, LCMHC

NPI #1780962464 in Sandy, Utah

Provider Information

NPI Number: 1780962464
Entity Type: Individual
Name: Jackie Z Rock, LCMHC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LCMHC
Enumeration Date: Jul 28, 2011
Last Updated: Apr 4, 2014

Practice Location

Address: 123 E MAIN ST
City: Sandy
State: Utah
ZIP Code: 84070
Phone: (801) 448-7811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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