MEDICARE: APRIL JEAN JACOB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1942996111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL JEAN JACOB

Provider Business Mailing Address
First Line	:	2787 S SPRING MEADOW DR
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-6668
Country	:	US
Telephone Number	:	801-368-6301
Fax Number	:

Provider Business Practice Location Address
First Line	:	3740 WEST MARKET CENTER DRIVE
Second Line	:	#1200
City	:	RIVERTON
State	:	UT
Zip	:	84065
Country	:	US
Telephone Number	:	801-240-9436
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2023
Last Update Date	:	04/12/2023

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Directions to “ APRIL JEAN JACOB ” Practice Location

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