Healthcare Provider Details

I. General information

NPI: 1609719954
Provider Name (Legal Business Name): CHOICE COUNSELING & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2721 N HIGHWAY 89 STE 100
PLEASANT VIEW UT
84404-6259
US

IV. Provider business mailing address

2721 N HIGHWAY 89 STE 100
PLEASANT VIEW UT
84404-6259
US

V. Phone/Fax

Practice location:
  • Phone: 385-405-9837
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JORDYN JACOBSON
Title or Position: OWNER
Credential: LCSW
Phone: 385-405-9837