CAVETT S ISHIHARA

SLC, UT
NPI1477999118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  1992148779)
Enumeration Date2013-05-21
Last Update Date2013-05-21
Business Address
Mr. CAVETT S ISHIHARA MFTI
350 E 2100 S
SLC, UT 84115
Phone number: 801-428-3422
Mailing Address
Mr. CAVETT S ISHIHARA MFTI
1089 S 2220 W
LEHI, UT 84043
Phone number: 815-909-7440