Jacob Thiede
Jacob Thiede is a Counselor in St George, Utah. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
491 E Riverside Dr Ste 3ASt George, UT 84790-7056
Phone: (801) 980-2566
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1689233587 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 13, 2019 |
| Last updated in NPPES | December 23, 2024 |
| Certification date | December 23, 2024 |
| Mailing address | 2461 S 780 W, Hurricane, UT 84737-2648 |
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