Provider Demographics
NPI:1003238718
Name:BRIGHT, JESSICA ZAMUDIO
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ZAMUDIO
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2163 E 3025 N
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-7160
Mailing Address - Country:US
Mailing Address - Phone:801-664-3145
Mailing Address - Fax:
Practice Address - Street 1:2163 E 3025 N
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84040-7160
Practice Address - Country:US
Practice Address - Phone:801-664-3145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-15
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health