JARED LANDVATTER

AMERICAN FORK, UT
NPI1417010190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: UT  2702096009)
Enumeration Date2006-12-18
Last Update Date2007-07-08
Business Address
-- JARED LANDVATTER CPCI
475 W 50 N ALPINE CENTER FOR BEHAVIORAL HEALTH
AMERICAN FORK, UT 84003
Phone number: 801-756-3664
Mailing Address
-- JARED LANDVATTER CPCI
475 W 50 N
AMERICAN FORK, UT 84003
Phone number: 801-756-3664