Jacob Dastrup
Jacob Dastrup is a Mental Health Counselor in Pleasant Grove, Utah. Licensed in Utah. Registered with an NPI since 2020.
- Licensed in
- UT
- In the registry since
- 2020
Practice location Address checks out
487 E 1000 S Ste APleasant Grove, UT 84062-3639
Phone: (801) 893-6399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 13536880 (UT) |
|---|
Record details
| NPI number | 1619501368 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 2, 2020 |
| Last updated in NPPES | August 22, 2023 |
| Certification date | August 22, 2023 |
| Mailing address | 487 E 1000 S Ste A, Pleasant Grove, UT 84062-3639 |
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