1104223593 Jeremiah Southworth
Mental Health Counselor
Active
Basic Information
- Full Name
- Jeremiah Southworth
- Gender
- Male
- Enumeration Date
- December 1, 2014
- Last Update
- May 7, 2020
Practice Location
- Address
- 750 N FREEDOM BLVD
PROVO, UT 846011677 - Phone
- (801) 373-4760
- Fax
- (801) 373-0639
Mailing Address
- Address
- 750 N FREEDOM BLVD
PROVO, UT 846011677 - Phone
- (801) 373-4760
- Fax
- (801) 373-0639
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Peer Specialist | 175T00000X | Peer Specialist | N/A | N/A | No |
| Mental Health Counselor Mental Health | 101YM0800X | Counselor | N/A | N/A | Primary |
Frequently Asked Questions
What is Jeremiah Southworth's NPI number?
Jeremiah Southworth's NPI number is 1104223593.
Which doctor has NPI number 1104223593?
The doctor with NPI number 1104223593 is Jeremiah Southworth.
What is Jeremiah Southworth's practice address?
Jeremiah Southworth's practice address is 750 N FREEDOM BLVD, PROVO, UT, 846011677.
Which doctor practices at 750 N FREEDOM BLVD, PROVO, UT, 846011677?
Jeremiah Southworth practices at 750 N FREEDOM BLVD, PROVO, UT, 846011677.
What is Jeremiah Southworth's phone number?
Jeremiah Southworth's phone number is (801) 373-4760.
Who is (801) 373-4760?
(801) 373-4760 is the phone number for Jeremiah Southworth.
What is Jeremiah Southworth's specialty?
Jeremiah Southworth's specialty is Mental Health Counselor.
What type of doctor is Jeremiah Southworth?
Jeremiah Southworth is a Mental Health Counselor.
Is Jeremiah Southworth a Mental Health?
Yes, Jeremiah Southworth is a Mental Health.
Is Jeremiah Southworth still practicing?
Yes, Jeremiah Southworth is currently practicing.
Is Jeremiah Southworth accepting new patients?
Jeremiah Southworth may be accepting new patients. Please call their office at (801) 373-4760 to inquire about availability.
Is NPI 1104223593 still active?
Yes, NPI 1104223593 is currently active.
Where does Jeremiah Southworth practice?
Jeremiah Southworth practices in PROVO, UT.
Is Jeremiah Southworth a male or female doctor?
Jeremiah Southworth is a male doctor.