Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kylee Jasper Hollenback

Individual provider Clinical Social Worker · NPI 1083065171

Kylee Jasper Hollenback is a Clinical Social Worker in Logan, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2016

Practice location Address checks out

437 W 1155 N
Logan, UT 84341-6995
Phone: (801) 403-8675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12298207-3501 (UT)

Record details

NPI number1083065171
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 29, 2016
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address437 W 1155 N, Logan, UT 84341-6995

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