Provider Demographics
NPI:1124620315
Name:PARRY, JERON (LMFT)
Entity type:Individual
Prefix:
First Name:JERON
Middle Name:
Last Name:PARRY
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1658 N 1125 W
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-3339
Mailing Address - Country:US
Mailing Address - Phone:801-427-6260
Mailing Address - Fax:
Practice Address - Street 1:10718 BECKSTEAD LN STE. #201
Practice Address - Street 2:ROOM #2
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84095-2605
Practice Address - Country:US
Practice Address - Phone:435-383-2833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7662879-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist