IndividualActive
Jed Black, INTERN
NPI 1831688233 · Mental Health Counselor · Clinton, UT
Provider details
- NPI number
- 1831688233
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- INTERN
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1407 N 2000 W Ste J
Clinton, UT 84015-8563
Phone: (801) 855-7999
Fax: (801) 855-7999
Approximate (ZIP-level) locationGet directions
Mailing address
1407 N 2000 W Ste J
Clinton, UT 84015-8563
Registry dates
- Enumerated
- 2018-05-02
- Last updated
- 2018-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.