Provider Demographics
NPI:1508747650
Name:JESS ARANDA LLC
Entity type:Organization
Organization Name:JESS ARANDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:K
Authorized Official - Last Name:ARANDA
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:785-691-8689
Mailing Address - Street 1:1521 S 1200 W
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84104-2166
Mailing Address - Country:US
Mailing Address - Phone:785-691-8689
Mailing Address - Fax:
Practice Address - Street 1:1521 S 1200 W
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84104-2166
Practice Address - Country:US
Practice Address - Phone:785-691-8689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty