CODY JOHNSON

PROVO, UT
NPI1881904613
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  9082143-3501)
Enumeration Date2010-10-14
Last Update Date2019-04-17
Business Address
CODY JOHNSON
TRAILTALK 3585 N UNIVERSITY AVE. STE 250
PROVO, UT 84604
Phone number: 435-513-2715
Mailing Address
CODY JOHNSON
263 ASHBROOK CIRCLE
MIDVALE, UT 84047
Phone number: 801-834-1606