Doctor Name: | MS. JENNIFER J THOMLINSON |
NPI Number: | 1992942247 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSW |
License Number: | 2930743502 |
Business Practice Address: | 3392 W 3500 S West Valley, UT - 841192630 |
Business Phone Number: | 8019693307 |
Business Fax Number: | 8019648898 |
Mailing Address: | 3392 W 3500 S, WEST VALLEY |
State: | UT |
Postal Code: | 841192630 |
Phone Number: | 8019693307 |
Fax Number: | 8019648898 |
NPI Enumeration Date: | 01/08/2009 |
NPI Last Update Date: | 01/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2930743502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |