Provider Demographics
NPI:1285707489
Name:REES, JARED DAVID (LCSW)
Entity type:Individual
Prefix:
First Name:JARED
Middle Name:DAVID
Last Name:REES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 N MAIN ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-9765
Mailing Address - Country:US
Mailing Address - Phone:435-586-4479
Mailing Address - Fax:
Practice Address - Street 1:2202 N MAIN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-9765
Practice Address - Country:US
Practice Address - Phone:435-586-4479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical