Jacob Shane Smith, ACMHC
NPI #1801541511 in Eagle Mountain, Utah
Provider Information
- NPI Number
- 1801541511
- Entity Type
- Individual
- Name
- Jacob Shane Smith, ACMHC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- ACMHC
- Enumeration Date
- Feb 21, 2022
- Last Updated
- May 20, 2024
Practice Location
- Address
- 3714 E CAMPUS DR STE 101
- City
- Eagle Mountain
- State
- Utah
- ZIP Code
- 84005-5451
- Phone
- (801) 789-7780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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