Jed Black, INTERN is a mental health counselor in Clinton, UT. Jed Black, INTERN NPI is 1831688233. 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:
1407 N 2000 W STE J
CLINTON, UT
ZIP 84015-563
Phone: (801) 855-7999
Fax: (801) 855-7999
The enumeration date for this NPI number is 5/2/2018 and was last updated on 5/2/2018.