JACOB LYLE HERETH NPI 1598240947

NPI Information

Jacob Lyle Hereth is a social worker in Salt Lake City, UT. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Jacob Lyle Hereth NPI is 1598240947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4460 S HIGHLAND DR STE 300
SALT LAKE CITY, UT
ZIP 84124-562
Phone: (888) 949-4864

The enumeration date for this NPI number is 10/2/2018 and was last updated on 1/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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