Provider Demographics
NPI:1790229599
Name:COURT, JENNIFER (ACMHC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:COURT
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8184 S HIGHLAND DR
Mailing Address - Street 2:SUITE C-8
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-6477
Mailing Address - Country:US
Mailing Address - Phone:801-944-1666
Mailing Address - Fax:801-944-1698
Practice Address - Street 1:8184 S HIGHLAND DR
Practice Address - Street 2:SUITE C-8
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-6477
Practice Address - Country:US
Practice Address - Phone:801-944-1666
Practice Address - Fax:801-944-1698
Is Sole Proprietor?:No
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9819448-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health