Provider Demographics
NPI:1972702736
Name:SPANGLER, JENNIFER ANNETTE (MED LPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANNETTE
Last Name:SPANGLER
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1224 S RIVER RD STE B233
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-8285
Mailing Address - Country:US
Mailing Address - Phone:143-598-6224
Mailing Address - Fax:143-598-6225
Practice Address - Street 1:1224 S RIVER RD STE B233
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-8285
Practice Address - Country:US
Practice Address - Phone:143-598-6224
Practice Address - Fax:143-598-6225
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT350887-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health