DAXTON MARK JOHNSON

SALT LAKE CITY, UT
NPI1720775448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-04-21
Last Update Date2023-04-21
Business Address
DAXTON MARK JOHNSON
5296 S 300 W
SALT LAKE CITY, UT 84107-4767
Phone number: 801-921-7854
Mailing Address
DAXTON MARK JOHNSON
1848 E AMERICAN WAY UNIT 9
EAGLE MOUNTAIN, UT 84005-6316
Phone number: 801-864-0600