| NPI | 1194965624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN B JOHNSON Therapist 435-590-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: UT 343853-6004) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: UT 5142142-3501) |
| 106H00000X Marriage & Family Therapist (Licence: UT 117395-3902) | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2010-04-13 |