person
Justin Dean Gough
Mental Health Counselor in Taylorsville, Utah
NPI 1578825519

Justin Dean Gough is a Mental Health Counselor based in Taylorsville, UT and is specialized in Mental Health. Justin Dean Gough practices in Taylorsville, UT. The NPI Number for Justin Dean Gough is 1578825519 and holds a License No. 289038-6004 (Utah).

The current practice location address for Justin Dean Gough is 2904 Midwest Dr, Taylorsville, UT and can be reached out via phone at 801-963-0783.

Location: 2904 Midwest Dr, Taylorsville, UT, 84129-2555
person
Provider Profile Details
NPI Number
1578825519
Provider Name
Justin Dean Gough
Credential
Provider Entity Type
Individual
Gender
Male
Address
2904 Midwest Dr, Taylorsville, UT, 84129-2555
Phone Number
801-963-0783
Fax Number
Provider Enumeration Date
06/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2904 Midwest Dr
City
State
Zip
84129-2555
Phone Number
801-963-0783
Fax Number
person
Provider Business Mailing Address Details
Address
2904 Midwest Dr
City
State
Zip
84129-2555
Phone Number
801-963-0783
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
289038-6004 (Utah)
Definition
Definition to come...
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