Jeremy Boberg

NPI #1942666870 in Eagle Mountain, Utah

Provider Information

NPI Number: 1942666870
Entity Type: Individual
Name: Jeremy Boberg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 7, 2016
Last Updated: Jan 7, 2016

Practice Location

Address: 2590 E PRAIRIE VIEW DR
City: Eagle Mountain
State: Utah
ZIP Code: 84005-6096
Phone: (801) 634-8938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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